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Organization

JOSE L. RIVAS, M.D., A PROFESSIONAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSE L. RIVAS M.D. (PRESIDENT)
(323) 583-6361
Entity
Organization

Contact information

Practice address
3100 E FLORENCE AVE, SUITE 7, HUNTINGTON PARK, CA 90255-5848
(323) 583-6361
(323) 583-2923
Mailing address
3100 E FLORENCE AVE, SUITE 7, HUNTINGTON PARK, CA 90255-5848
(323) 583-6361
(323) 583-2923

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A33853
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A338530
CA
Enumeration date
08/13/2010
Last updated
08/13/2010
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