SearchCalifornia373H00000X

Fredrick Rivers

NPI 1902581440 · on the registry since 2023 · sole proprietor

Practice

Address
1111 W Tokay St Ste A
Lodi, CA 95240
Phone
(209) 412-2388
Organisation at this address
Glom Outpatient Services Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
33

Additional practice sites

  • 130 W Flora St, Stockton, CA

Registry record

Primary taxonomy
373H00000X
373H00000X
Sex
Male
Record last updated
2026-04-28

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