Individual
SERGIO RIVERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
24552 PASEO DE VALENCIA, LAGUNA HILLS, CA 29653
(949) 458-8880
Mailing address
23423 VIA SAN GARBRIEL, ALISO VIEJO, CA 92656
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT4752
CA
Other
Enumeration date
10/23/2008
Last updated
10/23/2008
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