Individual
ELIAS RIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11951 HESPERIA RD, HESPERIA, CA 92345-1855
(760) 956-2345
(760) 956-3761
Mailing address
11951 HESPERIA RD, HESPERIA, CA 92345-1855
(760) 956-2345
(760) 956-3761
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/22/2016
Last updated
09/13/2022
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