Most Relevant Information
Provider Data
| NPI Number: | 1003379405 |
| Provider Name: | ARMANDO JAVIER RIVERA RIVERA |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/11/2019 |
| Last Updated: | 04/11/2019 |
Provider Practice Location
1007 MYRTLE AVE
INGLEWOOD
CA
903014009
Practice Location Phone/Fax
| Phone: | 3104124191 |
| Fax: | 3104123942 |
Provider Mailing Location
4760 SEPULVEDA BLVD
CULVER CITY
CA
902304820
Provider Mailing Phone/Fax
| Phone: | 3103906612 |
| Fax: | 3103985690 |