Individual
DR. DIANA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5066 EAGLE ROCK BLVD STE G, LOS ANGELES, CA 90041-3904
(310) 801-7399
Mailing address
5066 EAGLE ROCK BLVD STE G, LOS ANGELES, CA 90041-3904
(310) 801-7399
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY32485
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01261511
—
CA
Enumeration date
12/10/2013
Last updated
05/13/2024
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