Individual
MR. JULIO C RIVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CS
Contact information
Practice address
6800 TREASURE TRAIL, LOS ANGELES, CA 90068
(323) 512-7999
Mailing address
6800 TREASURE TRAIL, LOS ANGELES, CA 90068
(323) 512-7999
Taxonomy
Speciality
Code
Description
License number
State
374K00000X
Religious Nonmedical Practitioner
Primary
—
CA
374K00000X
Religious Nonmedical Practitioner
—
—
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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