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NPI Code Detail

MEDICARE: CHRISTOPHER RIORDAN

MEDICARE: CHRISTOPHER RIORDAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianCA

General Provider Information

NPI Number : 1053881961
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER RIORDAN
Provider Business Mailing Address
First Line : 8885 RIO SAN DIEGO DR STE 340
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-1669
Country : US
Telephone Number : 619-323-0832
Fax Number :
Provider Business Practice Location Address
First Line : 8885 RIO SAN DIEGO DR STE 340
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-1669
Country : US
Telephone Number : 619-323-0832
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2018
Last Update Date : 12/04/2018

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Directions to “ CHRISTOPHER RIORDAN ” Practice Location

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