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1932435773
JOHNNY RIVAS
LOS ANGELES, CA
NPI
1932435773
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-10-29
Last Update Date
2009-10-29
Business Address
Mr. JOHNNY RIVAS
5723 WHITTIER BLVD
LOS ANGELES, CA 90022-4222
Phone number: 323-728-0100
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Mailing Address
Mr. JOHNNY RIVAS
5723 WHITTIER BLVD
LOS ANGELES, CA 90022-4222
Phone number: 323-728-0100
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