Individual
JOSE JAVIER RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8300 S VERMONT AVE, LOS ANGELES, CA 90044-3493
(818) 256-2050
Mailing address
919 1ST ST, SAN FERNANDO, CA 91340-2957
(818) 256-2050
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
06/25/2020
Last updated
05/15/2025
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