Individual
OTHON ERNESTO DE LOS RIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 PARK BLVD, SAN DIEGO, CA 92101-4721
(619) 788-4668
Mailing address
1400 PARK BLVD, SAN DIEGO, CA 92101-4721
(619) 788-4668
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
02/16/2021
Last updated
03/24/2026
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