Individual
DR. JORDAN CRUZ RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD,MPH
Contact information
Practice address
1433 S ROBERTSON BLVD, LOS ANGELES, CA 90035-3414
(310) 785-2121
Mailing address
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4541
(619) 515-2300
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A166171
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
09/21/2018
Last updated
10/04/2022
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