MEDICARE: DAVID RIVAS PPS

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	101Y00000X	Counselor	250219400	CA

General Provider Information

NPI Number	:	1144151499
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID RIVAS PPS

Provider Business Mailing Address
First Line	:	22855 MULHOLLAND HWY
Second Line	:
City	:	CALABASAS
State	:	CA
Zip	:	91302-2099
Country	:	US
Telephone Number	:	818-222-7177
Fax Number	:

Provider Business Practice Location Address
First Line	:	22855 MULHOLLAND HWY
Second Line	:
City	:	CALABASAS
State	:	CA
Zip	:	91302-2099
Country	:	US
Telephone Number	:	818-222-7177
Fax Number	:

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

Provider Enumeration Date	:	05/26/2026
Last Update Date	:	05/26/2026

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