Individual
BENNY RIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4314 W SLAUSON AVE STE 5-6, LOS ANGELES, CA 90043-2808
(323) 596-2833
Mailing address
4314 W SLAUSON AVE STE 5-6, LOS ANGELES, CA 90043-2808
(323) 596-2833
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
05/15/2018
Last updated
10/04/2022
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