Individual
MR. MICHAEL MERIWETHER RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
11817 EAST TELEGRAPH RD, SANTA FE SPRINGS, CA 90670
(562) 949-9328
Mailing address
5223 EAST CONANT ST, LONG BEACH, CA 90808
(562) 425-6226
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA12751
CA
Other
Enumeration date
08/25/2008
Last updated
08/25/2008
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