Most Relevant Information
Provider Data
| NPI Number: | 1003218660 |
| Provider Name: | PATRICIA GUADALUPE RIVAS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/25/2014 |
| Last Updated: | 09/25/2014 |
Provider Practice Location
717 LINCOLN BLVD.
VENICE
CA
90291
Practice Location Phone/Fax
| Phone: | 3103999883 |
| Fax: | 3103999678 |
Provider Mailing Location
5527 ROMAINE ST APT 4
LOS ANGELES
CA
900383273
Provider Mailing Phone/Fax
| Phone: | 3232034804 |
| Fax: | 3103999678 |