Individual ProviderChristopher Ryan GrantStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address101 The City Drive, City Tower, Ste 400, Orange, CA 92868(714) 456-5691(925) 209-1592PECOS EnrollmentBased on the most recent information from CMS, provider Christopher Ryan Grant does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1144806845Provider TypeIndividualFull NameGrant, Christopher RyanTitleMr.GenderMaleSole ProprietorNoEnumeration Date3/22/2021Last Updated4/1/2021Contact InformationPractice LocationPractice Address101 The City Drive, City Tower, Ste 400, Orange, CA 92868Phone(714) 456-5691FaxUnlisted FaxMailing LocationMailing Address4637 Southridge Ct Apt 5, Eau Claire, WI 54701-7295Phone(925) 209-1592FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerCalifornia