Provider Demographics
NPI:1891383675
Name:YEPIZ RIOS, OSCAR NOE
Entity Type:Individual
Prefix:MR
First Name:OSCAR
Middle Name:NOE
Last Name:YEPIZ RIOS
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 1:6950 W MELINDA LN
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-9591
Mailing Address - Country:US
Mailing Address - Phone:602-334-0688
Mailing Address - Fax:
Practice Address - Street 1:6950 W MELINDA LN
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-9591
Practice Address - Country:US
Practice Address - Phone:602-334-0688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-06
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLMSW-169021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical