Individual
MR. FERDINAND RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
66 HURLBUT ST, PASADENA, CA 91105-4025
(626) 441-4221
Mailing address
11327 PAINTER AVE, WHITTIER, CA 90605-3516
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
37312
CA
Other
Enumeration date
03/30/2018
Last updated
03/30/2018
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