Provider Demographics
NPI:1790564847
Name:TOCHIHUITL, RICHY GUADALUPE
Entity Type:Individual
Prefix:
First Name:RICHY
Middle Name:GUADALUPE
Last Name:TOCHIHUITL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 W 4TH ST STE 130
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92701-4562
Mailing Address - Country:US
Mailing Address - Phone:714-202-7516
Mailing Address - Fax:657-222-4410
Practice Address - Street 1:450 W 4TH ST STE 130
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701-4562
Practice Address - Country:US
Practice Address - Phone:714-202-7516
Practice Address - Fax:657-222-4410
Is Sole Proprietor?:No
Enumeration Date:2023-09-27
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker