Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rizza Rabara Formoso

Individual provider Licensed Psychiatric Technician · NPI 1649862269

Rizza Rabara Formoso is a Licensed Psychiatric Technician in Stockton, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021

Practice location Address checks out

1212 N California St
Stockton, CA 95202-1552
Phone: (209) 468-8720
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Psychiatric Technician (primary) Taxonomy 167G00000X · Licence 41438 (CA)

Record details

NPI number1649862269
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 4, 2021
Last updated in NPPESFebruary 4, 2021
Certification dateFebruary 4, 2021
Mailing address1212 N California St, Stockton, CA 95202-1552

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