SearchCalifornia363A00000X

Jose Rivera, PAC

NPI 1003937194 · on the registry since 2007 · sole proprietor

Practice

Address
7503 Atlantic Ave Ste D
Cudahy, CA 90201
Phone
(323) 562-3414
Fax
(323) 562-3100

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California