Rivera, Reginald John

Rivera, Reginald John is an sole proprietor health care provider with primary practice located at 13325 Hawthorne Blvd , Hawthorne CA 90250-5802. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Rivera, Reginald John can be contacted via phone (310) 676-8030.

Contact Information

Primary practice address
13325 Hawthorne Blvd Hawthorne CA 90250-5802
Phone: (310) 676-8030
Fax: (310) 676-8113
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1679791396
LBN Legal business name Rivera, Reginald John
Credentials A.O.D.C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2007
Last updated Jul 8th, 2007 - about 17 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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