Rivera, Dolores Jazmin

Rivera, Dolores Jazmin is an sole proprietor health care provider with primary practice located at 47915 Oasis St , Indio CA 92201-6950. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor, Hospital Units / Psychiatric Unit, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Rivera, Dolores Jazmin can be contacted via phone (760) 863-8600.

Contact Information

Primary practice address
47915 Oasis St Indio CA 92201-6950
Phone: (760) 863-8600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor 225C00000X
Hospital Units / Psychiatric Unit 273R00000X
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1104466929
LBN Legal business name Rivera, Dolores Jazmin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2020
Last updated Jan 9th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104466929 NPPES
California MEDICAID 93773825D

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