Provider Demographics
NPI:1821242991
Name:RIOS, ANA (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:ANA
Middle Name:
Last Name:RIOS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3046
Mailing Address - Street 2:
Mailing Address - City:MALVERN
Mailing Address - State:PA
Mailing Address - Zip Code:19355-0746
Mailing Address - Country:US
Mailing Address - Phone:951-550-5080
Mailing Address - Fax:951-550-5025
Practice Address - Street 1:29821 ANTELOPE RD STE 102
Practice Address - Street 2:
Practice Address - City:MENIFEE
Practice Address - State:CA
Practice Address - Zip Code:92584-8860
Practice Address - Country:US
Practice Address - Phone:951-550-5080
Practice Address - Fax:951-550-5025
Is Sole Proprietor?:No
Enumeration Date:2008-11-15
Last Update Date:2020-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA20063363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant