EDWIN RIVERA

SAN DIEGO, CA
NPI1861474033
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: CA  PA14420)
Enumeration Date2005-11-15
Last Update Date2021-11-29
Business Address
EDWIN RIVERA PHYSICIAN ASSISTANT
4647 ZION AVE
SAN DIEGO, CA 92120-2507
Phone number: 619-528-2595
Mailing Address
EDWIN RIVERA PHYSICIAN ASSISTANT
4647 ZION AVE
SAN DIEGO, CA 92120-2507
Phone number: 619-528-2595
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