Healthcare Provider Details

I. General information

NPI: 1093647919
Provider Name (Legal Business Name): DIANA RIOS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

87225 CHURCH ST
THERMAL CA
92274-8901
US

IV. Provider business mailing address

44239 LE BLANC CT
INDIO CA
92203-3471
US

V. Phone/Fax

Practice location:
  • Phone: 760-399-5137
  • Fax:
Mailing address:
  • Phone: 760-535-7656
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: