Juan Rivera

NPI 1801039706 · on the registry since 2009 · sole proprietor

Practice

Address: 7101 Baird Ave
Reseda, CA 91335
Phone: (818) 342-5897
Fax: (818) 975-5008
Organisation at this address: Tarzana Treatment Centers, Inc.
Tarzana Treatment Centers, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 133

Registry record

Primary taxonomy: 104100000X
104100000X
Licence states on file: NULL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-04-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California