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NPI Code Detail

MEDICARE: KRYSTAL CLAUDINE RIZO

MEDICARE: KRYSTAL CLAUDINE RIZO
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
1172V00000XCommunity Health WorkerCA

General Provider Information

NPI Number : 1730038951
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRYSTAL CLAUDINE RIZO
Provider Business Mailing Address
First Line : 2164 N MOUNTAIN VIEW AVE
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92405-4019
Country : US
Telephone Number : 909-886-2994
Fax Number : 909-886-2994
Provider Business Practice Location Address
First Line : 2164 N MOUNTAIN VIEW AVE
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92405-4019
Country : US
Telephone Number : 909-886-2994
Fax Number : 909-886-0218
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2026
Last Update Date : 01/22/2026

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Directions to “ KRYSTAL CLAUDINE RIZO ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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