Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225400000X | Rehabilitation Practitioner |
NPI | 1003161654 |
---|---|
Provider Name | Saul Rios |
First Address | North Hills, CA 91343-5117 |
Second Address | North Hills, CA 91343-5117 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2012 |
Last Update Date | 12/09/2019 |