Provider Demographics
NPI:1376157792
Name:URRIZA, JOSEPH (CMT)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:
Last Name:URRIZA
Suffix:
Gender:M
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8712 CANDLEWOOD ST
Mailing Address - Street 2:
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91708-9236
Mailing Address - Country:US
Mailing Address - Phone:909-354-6619
Mailing Address - Fax:
Practice Address - Street 1:8712 CANDLEWOOD ST
Practice Address - Street 2:
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91708-9236
Practice Address - Country:US
Practice Address - Phone:909-354-6619
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-02
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA6760225A00000X, 225700000X
225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist