Individual
ALEXANDER RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4601 SCALLOWAY CT, BAKERSFIELD, CA 93312-1945
(661) 343-1062
Mailing address
4601 SCALLOWAY CT, BAKERSFIELD, CA 93312-1945
(661) 343-1062
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1115692
TX
363A00000X
Physician Assistant
Primary
55130
CA
Other
Enumeration date
11/25/2013
Last updated
09/25/2020
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