Individual provider · Type 1 NPI
Edwin Rivera, PHYSICIAN ASSISTANT
Medical Physician Assistant · San Diego, CA
NPI number
1861474033
Active
Practice location
4647 Zion Ave
San Diego, CA 92120-2507
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA14420 (CA) |
Medical Physician Assistant: Definition to come...
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About NPI 1861474033
Edwin Rivera, PHYSICIAN ASSISTANT's National Provider Identifier is 1861474033, issued on Nov 15, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in San Diego, CA. The record was last updated on Nov 29, 2021.