Individual
EDITH OCHOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6203 SAN IGNACIO AVE STE 150, SAN JOSE, CA 95119-1371
(669) 220-1905
Mailing address
6203 SAN IGNACIO AVE STE 150, SAN JOSE, CA 95119-1371
(669) 220-1905
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/22/2023
Last updated
06/26/2025
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