Organization
PIERRE G RIVET MD A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PIERRE G. RIVET M.D. (PRESIDENT)
(619) 294-2350
Entity
Organization
Contact information
Practice address
4033 3RD AVE, SUITE 104, SAN DIEGO, CA 92103-2117
(619) 294-2350
(619) 296-5719
Mailing address
4033 3RD AVE, SUITE 104, SAN DIEGO, CA 92103-2117
(619) 294-2350
(619) 296-5719
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
C36527
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C365270
BLUE SHIELD
CA
Enumeration date
03/25/2010
Last updated
05/04/2010
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