JOSE ANTONIO RIVERA

CUDAHY, CA
NPI1003937194
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA14743)
Enumeration Date2007-04-03
Last Update Date2007-07-08
Business Address
-- JOSE ANTONIO RIVERA PAC
7503 ATLANTIC AVE STE D
CUDAHY, CA 90201
Phone number: 323-562-3414
Mailing Address
-- JOSE ANTONIO RIVERA PAC
3434 N. ROBINETTE AVE
BALDWIN PARK, CA 91706
Phone number: 323-562-3414
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