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Fatima Rivera
Assisted Living Facility in Costa Mesa, California
NPI 1386033512

Fatima Rivera is an Assisted Living Facility based in Costa Mesa, CA. Fatima Rivera practices in Costa Mesa, CA. The NPI Number for Fatima Rivera is 1386033512 and holds a License No. 306000126 (California).

The current practice location address for Fatima Rivera is 1825 Samar Dr, Costa Mesa, CA and can be reached out via phone at 714-429-1658 and via fax at 714-979-9982.

Location: 1825 Samar Dr, Costa Mesa, CA, 92626-3631
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386033512
Provider Name
Fatima Rivera
Credential
Provider Entity Type
Individual
Gender
Female
Address
1825 Samar Dr, Costa Mesa, CA, 92626-3631
Phone Number
714-429-1658
Fax Number
714-979-9982
Provider Enumeration Date
01/12/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
306000126 01 CA MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
1825 Samar Dr
City
Costa Mesa
State
California
Zip
92626-3631
Phone Number
714-429-1658
Fax Number
714-979-9982
person
Provider Business Mailing Address Details
Address
1825 Samar Dr
City
Costa Mesa
State
California
Zip
92626-3631
Phone Number
714-429-1658
Fax Number
714-979-9982
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
306000126 (California)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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