Rivera, Elizabeth

Rivera, Elizabeth is an individual health care provider with primary practice located at 316 E 25Th St , Los Angeles CA 90011-1406. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Rivera, Elizabeth can be contacted via phone (213) 271-5426.

Contact Information

Primary practice address
316 E 25Th St Los Angeles CA 90011-1406
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X

Profile Details

NPI number 1730707548
LBN Legal business name Rivera, Elizabeth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2020
Last updated Jul 8th, 2020 - about 5 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 1730707548 NPPES
California MEDICAID RDA95015

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