Healthcare Provider Details
I. General information
NPI: 1952135766
Provider Name (Legal Business Name): CLAUDIO M RIGO DE RIGHI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/26/2024
Last Update Date: 08/26/2024
Certification Date: 08/26/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4134 CAMINITO TERVISO
SAN DIEGO CA
92122-1969
US
IV. Provider business mailing address
1025 35TH AVE APT 2
SACRAMENTO CA
95822-2447
US
V. Phone/Fax
- Phone: 858-412-4702
- Fax:
- Phone: 619-985-5200
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 374U00000X |
| Taxonomy | Home Health Aide |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: