Individual provider · Type 1 NPI

Jesus Manuel Rivera Jr.

Student in an Organized Health Care Education/Training Program · Gardena, CA

NPI number 1184589798 Active

Practice location

108 W Victoria St
Gardena, CA 90248-3523

Call (310) 715-2020 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1184589798

Jesus Manuel Rivera Jr.'s National Provider Identifier is 1184589798, issued on Dec 17, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Gardena, CA. The record was last updated on Dec 17, 2025.