Healthcare Provider Details

I. General information

NPI: 1477463743
Provider Name (Legal Business Name): JOSIE RICO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 CHURCH ST
SALINAS CA
93901-2632
US

IV. Provider business mailing address

2976 CLARK CT
MARINA CA
93933-4635
US

V. Phone/Fax

Practice location:
  • Phone: 831-758-0181
  • Fax: 831-758-5127
Mailing address:
  • Phone: 831-902-8788
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: