Individual
SETH RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
200 MEDICAL PLAZA, #365,530,420,120, LOS ANGELES, CA 90095-0001
(310) 794-9718
Mailing address
10833 LE CONTE AVE, 37-131 CHS, LOS ANGELES, CA 90095-1690
(310) 825-8352
(310) 206-8622
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
A72432
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A724320
MEDICAL PPIN #
CA
Enumeration date
07/25/2006
Last updated
12/13/2021
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