Individual provider · NPI-1
Angelina De La Riva
Rehabilitation Practitioner · Mountain View, CA
NPI number1700440518
StatusActive
Last updated in NPPESJun 3, 2025
Details
- NPI
- 1700440518
- Entity type
- Individual (NPI-1)
- Name
- Angelina De La Riva
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 26, 2019
- Certification date
- Jun 3, 2025
- Last updated
- Jun 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
1503 Grant Rd Ste 110Mountain View, CA 94040-3270
Phone 650-484-1213 · Fax 408-642-6052
Mailing address
1922 The Alameda Ste 316San Jose, CA 95126-1461
Phone 408-261-7777 · Fax 408-642-6052
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