Individual
JUDITH RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
600 ANTON BLVD FL 11, COSTA MESA, CA 92626-7100
(623) 374-7774
(855) 420-6361
Mailing address
14780 W MOUNTAIN VIEW BLVD STE 110, SURPRISE, AZ 85374-7280
(623) 374-7774
(855) 420-6361
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8793
CA
363LF0000X
Family Nurse Practitioner
8793
CA
Other
Enumeration date
07/18/2014
Last updated
08/23/2018
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