Individual
DR. RAYMOND RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5525 ETIWANDA AVE, SUITE 222, TARZANA, CA 91356-3647
(818) 345-9600
Mailing address
PO BOX 507, WOODLAND HILLS, CA 91365-0507
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G83979
CA
Other
Enumeration date
10/15/2007
Last updated
12/28/2007
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