Individual
DR. LAWRENCE RIVKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
465 N ROXBURY DR STE 803, BEVERLY HILLS, CA 90210-4211
(310) 274-9954
(310) 274-9450
Mailing address
465 N ROXBURY DR STE 803, BEVERLY HILLS, CA 90210-4211
(310) 274-9954
(310) 274-9450
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C34985
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
954220697
TAX ID #
CA
01
—
C34985
LICENSE
CA
Enumeration date
03/06/2007
Last updated
03/07/2023
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