Healthcare Provider Details

I. General information

NPI: 1053241562
Provider Name (Legal Business Name): MR. ARMANDO BRITO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6860 BROCKTON AVE STE 9
RIVERSIDE CA
92506-3816
US

IV. Provider business mailing address

2729 MULBERRY ST
RIVERSIDE CA
92501-2530
US

V. Phone/Fax

Practice location:
  • Phone: 951-224-9940
  • Fax: 951-535-5931
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberRT1428200126
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: