Individual
EDGAR ADRIAN RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5300 SOQUEL AVE, SANTA CRUZ, CA 95062-7805
(831) 540-4141
Mailing address
5300 SOQUEL AVE, SANTA CRUZ, CA 95062-7805
(831) 540-4141
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
CA
Other
Enumeration date
03/17/2026
Last updated
03/17/2026
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