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Edwin Rivera, PHYSICIANASSISTANT
Medical Physician Assistant in San Diego, California
NPI 1861474033

Edwin Rivera is a Medical Physician Assistant based in San Diego, CA and is specialized in Medical. Edwin Rivera practices in San Diego, CA and has the professional credentials of PHYSICIANASSISTANT. The NPI Number for Edwin Rivera is 1861474033 and holds a License No. PA14420 (California).

The current practice location address for Edwin Rivera is 4647 Zion Ave, San Diego, CA and can be reached out via phone at 619-528-2595.

Location: 4647 Zion Ave, San Diego, CA, 92120-2507
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861474033
Provider Name
Edwin Rivera
Credential
PHYSICIANASSISTANT
Provider Entity Type
Individual
Gender
Male
Address
4647 Zion Ave, San Diego, CA, 92120-2507
Phone Number
619-528-2595
Fax Number
Provider Enumeration Date
11/15/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4647 Zion Ave
City
San Diego
State
California
Zip
92120-2507
Phone Number
619-528-2595
Fax Number
person
Provider Business Mailing Address Details
Address
4647 Zion Ave
City
San Diego
State
California
Zip
92120-2507
Phone Number
619-528-2595
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA14420 (California)
Definition
Definition to come...
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