Organization
RIVIERA MEDICAL CORPORATION
Active
Parent organization
RIVIERA MEDICAL CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIVIERA MEDICAL CORPORATION
Authorized official
BRYAN DOONAN MD (PRESIDENT)
(949) 760-8300
Entity
Organization
Contact information
Practice address
360 SAN MIGUEL DR, SUITE 107, NEWPORT BEACH, CA 92660-7853
(949) 760-8300
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
(310) 474-9809
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
06/20/2011
Last updated
06/20/2011
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