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Mr. Edwin Ivan Rivera, BA,MA
Rehabilitation Practitioner in Van Nuys, California
NPI 1871778365

Edwin Ivan Rivera is a Rehabilitation Practitioner based in Van Nuys, CA. Edwin Ivan Rivera practices in Van Nuys, CA and has the professional credentials of BA,MA. The NPI Number for Edwin Ivan Rivera is 1871778365 and holds a License No. (California).

The current practice location address for Edwin Ivan Rivera is 6501 Van Nuys Blvd Ste 103, Van Nuys, CA and can be reached out via phone at 818-902-5315 and via fax at 818-780-6562.

Location: 6501 Van Nuys Blvd Ste 103, Van Nuys, CA, 91401-1425
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871778365
Provider Name
Edwin Ivan Rivera
Credential
BA,MA
Provider Entity Type
Individual
Gender
Male
Address
6501 Van Nuys Blvd Ste 103, Van Nuys, CA, 91401-1425
Phone Number
818-902-5315
Fax Number
818-780-6562
Provider Enumeration Date
01/03/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6501 Van Nuys Blvd Ste 103
City
Van Nuys
State
California
Zip
91401
Phone Number
818-902-5315
Fax Number
818-780-6562
person
Provider Business Mailing Address Details
Address
6501 Van Nuys Blvd Ste 103
City
Van Nuys
State
California
Zip
91401
Phone Number
818-902-5315
Fax Number
818-780-6562
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
(California)
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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