Individual
MR. KEITH E RIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1508 S. WINCHESTER BLVD, SUITE 104, CAMPBELL, CA 95008-0519
(408) 379-5600
(408) 379-5632
Mailing address
8041 GREENBACK LN, CITRUS HEIGHTS, CA 95610-6909
(916) 721-0400
(916) 721-0434
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA5058
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HA 5058
LICENCE
CA
Enumeration date
06/01/2007
Last updated
07/08/2007
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