Individual
JEFFREY BRUCE RIKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 E 28TH ST, STE 318, LONG BEACH, CA 90806-2759
(562) 290-8888
Mailing address
701 E 28TH ST, STE 318, LONG BEACH, CA 90806-2759
(562) 290-8888
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G19160
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0086880
—
CA
Enumeration date
07/10/2006
Last updated
07/08/2007
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