Individual
ANTONIO RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2151 W 6TH ST, LOS ANGELES, CA 90057-3121
(213) 483-2222
(213) 483-6161
Mailing address
2151 W 6TH ST, LOS ANGELES, CA 90057-3121
(213) 483-2222
(213) 483-6161
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
13146
CA
Other
Enumeration date
04/16/2007
Last updated
10/28/2010
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