Organization
JORGE A. RIVERO, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE RIVERO M.D. (OWNER)
(949) 588-7262
Entity
Organization
Contact information
Practice address
23521 PASEO DE VALENCIA, SUITE 108, LAGUNA HILLS, CA 92653-3107
(949) 588-7262
Mailing address
23521 PASEO DE VALENCIA, SUITE 108, LAGUNA HILLS, CA 92653-3107
(949) 588-7262
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
A45653
CA
Other
Enumeration date
05/22/2013
Last updated
05/22/2013
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