Rivera, Mark Jefferson

Rivera, Mark Jefferson is an individual health care provider with primary practice located at 9735 Wilshire Blvd , Beverly Hills CA 90212-2107. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Rivera, Mark Jefferson can be contacted via phone (661) 251-6300.

Contact Information

Primary practice address
9735 Wilshire Blvd Beverly Hills CA 90212-2107
Phone: (661) 251-6300
Fax: (661) 443-8424
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X A157872 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A157872 California

Profile Details

NPI number 1780045682
LBN Legal business name Rivera, Mark Jefferson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2016
Last updated Aug 24th, 2023 - about 3 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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