Individual provider · Type 1 NPI

Jerry Rivas

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

NPI number 1205490620 Active · reactivated Aug 4, 2023

Practice location

205 39th St
Richmond, CA 94805-2212

Call (510) 412-5930 Map

Mailing address

3655 Midvale Ave Apt 4
Oakland, CA 94602-3863

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 1205490620

Jerry Rivas's National Provider Identifier is 1205490620, issued on May 1, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Richmond, CA. The record was last updated on Aug 8, 2023.