Individual
LOVELLE RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26910 SIERRA HWY STE D8, SANTA CLARITA, CA 91321-2262
(661) 388-5750
Mailing address
12318 WILLOW HILL DR, MOORPARK, CA 93021-2765
(661) 523-9414
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
593704
CA
363L00000X
Nurse Practitioner
Primary
22020
CA
363L00000X
Nurse Practitioner
593704
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
593704
BOARD OF REGISTERED NURSING- NURSE PRACTITIONER
CA
Enumeration date
02/23/2015
Last updated
11/02/2024
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