Individual
JOSEPH RIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
18111 NORDHOFF ST, NORTHRIDGE, CA 91330-0001
(818) 677-1200
Mailing address
7115 IRONDALE AVE, CANOGA PARK, CA 91306-3333
(818) 854-2330
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
09/22/2017
Last updated
06/29/2019
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