Healthcare Provider Details

I. General information

NPI: 1023933645
Provider Name (Legal Business Name): RIO OCHOA
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 W BEACH ST
WATSONVILLE CA
95076-4557
US

IV. Provider business mailing address

400 ENCINAL ST
SANTA CRUZ CA
95060-2115
US

V. Phone/Fax

Practice location:
  • Phone: 831-466-5119
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: