Healthcare Provider Details

I. General information

NPI: 1619816998
Provider Name (Legal Business Name): TATIANA RIOS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 GILMAN RD
EL MONTE CA
91732-2515
US

IV. Provider business mailing address

3900 GILMAN RD
EL MONTE CA
91732-2515
US

V. Phone/Fax

Practice location:
  • Phone: 626-643-4233
  • Fax:
Mailing address:
  • Phone: 626-652-4400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: