Individual
DR. OSCAR R RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2 N EUCLID AVE SUITE #A B C, NATIONAL CITY, CA 91950-1967
(619) 205-6363
(619) 263-4247
Mailing address
4004 BEYER BLVD, SAN YSIDRO, CA 92173-2007
(619) 428-4463
(619) 428-2625
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
OSC 445
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FHC70961F
MEDI-CAL
—
Enumeration date
09/11/2006
Last updated
07/08/2007
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