| Jorge A. Rivero, M.d., Inc. | |
|
23521 Paseo De Valencia Suite 108 Laguna Hills CA 92653-3107 | |
| (949) 588-7262 | |
| Not Available |
| Full Name | Jorge A. Rivero, M.d., Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 23521 Paseo De Valencia, Laguna Hills, California |
| Authorized Official Name and Position | Jorge Rivero (OWNER) |
| Authorized Official Contact | 9495887262 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jorge A. Rivero, M.d., Inc. 23521 Paseo De Valencia Suite 108 Laguna Hills CA 92653-3107 Ph: (949) 588-7262 | Jorge A. Rivero, M.d., Inc. 23521 Paseo De Valencia Suite 108 Laguna Hills CA 92653-3107 Ph: (949) 588-7262 |
| NPI Number | 1194161703 |
|---|---|
| Provider Enumeration Date | 05/22/2013 |
| Last Update Date | 05/22/2013 |
| Medicare PECOS PAC ID | 8820213440 |
|---|---|
| Medicare Enrollment ID | O20140715000968 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194161703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | A45653 (California) | Primary |
| Provider Name | Jorge A Rivero |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1013097260 PECOS PAC ID: 8527013499 Enrollment ID: I20050314001108 |
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