Provider Demographics
NPI:1952426058
Name:URQUIJO, RIGOBERTO (CATCIICA(CADC II-CA))
Entity type:Individual
Prefix:MR
First Name:RIGOBERTO
Middle Name:
Last Name:URQUIJO
Suffix:
Gender:
Credentials:CATCIICA(CADC II-CA)
Other - Prefix:MR
Other - First Name:RIGO
Other - Middle Name:
Other - Last Name:URQUIJO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1333 N 6TH ST # A
Mailing Address - Street 2:
Mailing Address - City:PORT HUENEME
Mailing Address - State:CA
Mailing Address - Zip Code:93041-2521
Mailing Address - Country:US
Mailing Address - Phone:805-320-6135
Mailing Address - Fax:
Practice Address - Street 1:314 W 4TH ST.
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030
Practice Address - Country:US
Practice Address - Phone:805-988-1112
Practice Address - Fax:805-988-4883
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAII0544600418101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA2612R0405XOtherHEALTH CARE PROVIDER