Individual
BIBIANA DANIELA RIVERA CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1115 S SUNSET AVE, WEST COVINA, CA 91790-3940
(626) 962-4011
Mailing address
1115 S SUNSET AVE, WEST COVINA, CA 91790-3940
(626) 733-0275
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
60796
CA
Other
Enumeration date
03/01/2022
Last updated
05/16/2024
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