Provider Demographics
NPI:1558585604
Name:THE RIO ALLIANCE
Entity Type:Organization
Organization Name:THE RIO ALLIANCE
Other - Org Name:RIO CHIROPRACTIC CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELISE
Authorized Official - Middle Name:APRIL
Authorized Official - Last Name:RIO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:909-947-7777
Mailing Address - Street 1:1525 S GROVE AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91761-4587
Mailing Address - Country:US
Mailing Address - Phone:909-947-7777
Mailing Address - Fax:909-947-7703
Practice Address - Street 1:1525 S GROVE AVE STE 3
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91761-4587
Practice Address - Country:US
Practice Address - Phone:909-947-7777
Practice Address - Fax:909-947-7703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23098111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty