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NPI Code Detail

MEDICARE: RIO CRISS

MEDICARE: RIO CRISS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1373H00000XDay Training/Habilitation Specialist

General Provider Information

NPI Number : 1952257081
Entity Type Code : Individual
Provider Name (Legal Business Name) : RIO CRISS
Provider Business Mailing Address
First Line : 3055 WILSHIRE BLVD STE 300
Second Line :
City : LOS ANGELES
State : CA
Zip : 90010-1147
Country : US
Telephone Number : 213-552-3514
Fax Number :
Provider Business Practice Location Address
First Line : 3055 WILSHIRE BLVD STE 300
Second Line :
City : LOS ANGELES
State : CA
Zip : 90010-1147
Country : US
Telephone Number : 213-552-3514
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2026
Last Update Date : 03/10/2026

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Directions to “ RIO CRISS ” Practice Location

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