Individual
CHARLES PETER RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1380 HOWARD ST FL 5, SAN FRANCISCO, CA 94103-2652
(415) 255-3421
Mailing address
SF DEPT. OF PUBLIC HEALTH BEHAVIORAL HEALTH SERVICES, 1380 HOWARD STREET, 5TH FLOOR, SAN FRANCISCO, CA 94103
(415) 255-3421
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
172V00000X
MEDI-CAL SHORT DOYLE
CA
Enumeration date
11/01/2017
Last updated
11/01/2017
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