Provider Demographics
NPI:1184632580
Name:RIFFEY, CLEO SKORDOS (DC)
Entity Type:Individual
Prefix:MRS
First Name:CLEO
Middle Name:SKORDOS
Last Name:RIFFEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6630 SIERRA COLLEGE BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ROCKLIN
Mailing Address - State:CA
Mailing Address - Zip Code:95677-4307
Mailing Address - Country:US
Mailing Address - Phone:916-783-9470
Mailing Address - Fax:916-783-9480
Practice Address - Street 1:6630 SIERRA COLLEGE BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:ROCKLIN
Practice Address - State:CA
Practice Address - Zip Code:95677-4307
Practice Address - Country:US
Practice Address - Phone:916-783-9470
Practice Address - Fax:916-783-9480
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18608111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ13104-ZOtherBLUE SHIELD ZZ
CAZZZ13104-ZOtherBLUE SHIELD ZZ