Ida Rivera is a Clinical in Los Angeles, California. Ida Rivera practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ida Rivera is 1568545457. The last update date is 2007-07-08.
Ida Rivera's current location address is 3075 Wilshire Blvd, Los Angeles, California. You can contact this provider via phone number 2136394706 and fax number 2133512754. The mailing address for Ida Rivera is 3075 Wilshire Blvd, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ida Rivera |
|---|---|
| Address | 3075 Wilshire Blvd, Los Angeles, California |
| Phone Number | 2136394706 |
| Fax Number | 2133512754 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1568545457 |
|---|---|
| Provider Enumeration Date | 2006-10-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3075 Wilshire Blvd |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900101205 |
| Phone Number | 2136394706 |
| Fax Number | 2133512754 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY20306 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique identification code assigned to Ida Rivera by the Centers for Medicare & Medicaid Services?
The Ida Rivera has been issued the NPI (National Provider Identifier) 1568545457. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Ida Rivera is geographically located?
The Ida Rivera is physically situated at the following location: 3075 Wilshire Blvd, Los Angeles, CA, 900101205.
What is Ida Rivera's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Ida Rivera is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did the Ida Rivera receive the assignment of its 1568545457 from the Centers for Medicare & Medicaid Services?
The Ida Rivera was issued its 1568545457 by the Centers for Medicare & Medicaid Services on 2006-10-23.
As of what date were the Ida Rivera's details last updated?
The information pertaining to the Ida Rivera, including its address, specialty, and other details, was most recently updated on 2007-07-08.