Rivera, Edwin

Rivera, Edwin is an individual health care provider with primary practice located at 4647 Zion Ave , San Diego CA 92120-2507. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Rivera, Edwin can be contacted via phone (619) 528-2595.

Contact Information

Primary practice address
4647 Zion Ave San Diego CA 92120-2507
Phone: (619) 528-2595
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA14420 California

Profile Details

NPI number 1861474033
LBN Legal business name Rivera, Edwin
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Nov 29th, 2021 - about 5 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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