Individual
DR. YULIA RIVELIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3883 AIRWAY DR, SANTA ROSA, CA 95403-1670
(707) 573-5458
(707) 573-5458
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(707) 541-7900
(707) 573-5411
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT212134
PA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A180148
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A180148
STATE MEDICAL LICENSE
CA
Enumeration date
07/22/2016
Last updated
10/26/2022
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