Individual
MICHAEL STEVEN RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2642 JAMES M WOOD BLVD, LOS ANGELES, CA 90006-1706
(213) 308-9075
Mailing address
2642 JAMES M WOOD BLVD, LOS ANGELES, CA 90006-1706
(213) 308-9075
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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