MEDICARE: APRIL RIVERA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	MFC41342	CA

General Provider Information

NPI Number	:	1922138940
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	APRIL RIVERA

Provider Business Mailing Address
First Line	:	PO BOX 41683
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90853-1683
Country	:	US
Telephone Number	:	562-438-3330
Fax Number	:

Provider Business Practice Location Address
First Line	:	5150 E PCH STE 100
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90804-3394
Country	:	US
Telephone Number	:	562-490-7600
Fax Number	:	562-490-7601

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	05/13/2013

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Directions to “ APRIL RIVERA ” Practice Location

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