Individual
ROBERT EDENILSON RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
1509 WILSON TER, GLENDALE, CA 91206-4007
(818) 409-8000
Mailing address
1509 WILSON TER, GLENDALE, CA 91206-4007
(818) 409-8000
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
29523
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29523
RESPIRATORY CARE BOARD OF CALIFORNIA
CA
Enumeration date
05/04/2020
Last updated
05/04/2020
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