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Contact Information

GINA K RIEDL, LPT
8725 WATT AVE
ANTELOPE, CA95843-9747
 Phone: 916-338-6449
 Fax: 916-338-7535
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for GINA K RIEDL · (Female)

NPI # 1013095843
Status Active
Credentials LPT
Entity Individual
Enumeration date 11/01/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 340077AN
  • CA Other 3464 CA DRUG MEDI-CAL#
  • CA Other PT 26123 LICENSED PSYCHIATRIC TECH
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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