Mr Edwin Ivan Rivera, BA, MA is a
Rehabilitation Practitioner based in Van Nuys, California. Mr Edwin Ivan Rivera is licensed to practice in California (license number ) and his current practice location is
6501 Van Nuys Blvd Ste 103, Van Nuys, California. He can be reached at his office (for appointments etc.) via phone at
(818) 902-5315.
NPI number for Mr Edwin Ivan Rivera is 1871778365 and his current mailing address is 6501 Van Nuys Blvd Ste 103, Van Nuys, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1871778365.
Healthcare Provider's Profile
| Full Name | Mr Edwin Ivan Rivera |
|---|
| Gender | Male |
|---|
| Speciality | Rehabilitation Practitioner |
|---|
| Location | 6501 Van Nuys Blvd Ste 103, Van Nuys, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1871778365
- Provider Enumeration Date: 01/03/2008
- Last Update Date: 06/19/2018
Medical Identifiers
Medical identifiers for Mr Edwin Ivan Rivera such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871778365 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (California) | Secondary |
| 225400000X | Rehabilitation Practitioner | (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Edwin Ivan Rivera is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Edwin Ivan Rivera, BA, MA
6501 Van Nuys Blvd Ste 103,
Van Nuys, CA 91401-1425
Ph: (818) 902-5315 | Mr Edwin Ivan Rivera, BA, MA
6501 Van Nuys Blvd Ste 103,
Van Nuys, CA 91401
Ph: (818) 902-5315 |
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