Riva, Lisa Louise

Riva, Lisa Louise is an sole proprietor health care provider with primary practice located at 520 Superior Ave Ste 255 , Newport Beach CA 92663-3668. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Riva, Lisa Louise can be contacted via phone (949) 360-0300.

Contact Information

Primary practice address
520 Superior Ave Ste 255 Newport Beach CA 92663-3668
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP95007823 California

Profile Details

NPI number 1144719840
LBN Legal business name Riva, Lisa Louise
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2018
Last updated Jun 16th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144719840 NPPES
California MEDICAID 000000
California MEDICAID XXXXXXX

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