SearchCalifornia253Z00000X

Deisi Rivas

NPI 1699139097 · on the registry since 2016 · sole proprietor

Practice

Address
728 S Ditman Ave
Los Angeles, CA 90023
Phone
(619) 941-9466

Registry record

Primary taxonomy
253Z00000X
253Z00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-04-12

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