Healthcare Provider Details

I. General information

NPI: 1174448146
Provider Name (Legal Business Name): VIVIANA JASMINE RIOS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7827 FLORENCE AVE
DOWNEY CA
90240-3727
US

IV. Provider business mailing address

11429 BELCHER ST
NORWALK CA
90650-2719
US

V. Phone/Fax

Practice location:
  • Phone: 800-819-3735
  • Fax:
Mailing address:
  • Phone: 310-374-3300
  • Fax: 310-374-3307

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: