NPI 1104241470

Edgar Rico

Practitioner Clinical Social Worker Glendora, CA

Practice location

Address: 1160 S Grand Ave, Glendora, CA 91740-5000
Phone: (626) 335-5980
Fax: (626) 335-5989
Mailing address: 8323 Artson St, Rosemead, CA 91770-2611

Registered specialties (3)

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 100177 (CA)

Other Social Worker providers in California →

Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence ASW76002 (CA)

Other Counselor providers in California →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in California →

Registry record

NPI: 1104241470
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Feb 2014
Record last updated: 3 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.