Individual
ANDREW CHAVEZ RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12021 WILMINGTON AVE BLDG.18 STE. 101, LOS ANGELES, CA 90059-3019
(424) 454-6001
Mailing address
12021 WILMINGTON AVE, LOS ANGELES, CA 90059-3019
(424) 454-6001
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN741616
CA
Other
Enumeration date
07/09/2024
Last updated
06/25/2025
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