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NPI Code Detail

MEDICARE: ILIANA RIVERA

MEDICARE: ILIANA 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
1171M00000XCase Manager/Care Coordinator
2106H00000XMarriage & Family TherapistLMFT147927CA

General Provider Information

NPI Number : 1255883724
Entity Type Code : Individual
Provider Name (Legal Business Name) : ILIANA RIVERA
Provider Business Mailing Address
First Line : 2423 SIENA DR
Second Line :
City : DELANO
State : CA
Zip : 93215-9234
Country : US
Telephone Number : 661-586-8296
Fax Number :
Provider Business Practice Location Address
First Line : 4633 OLD IRONSIDES DR STE 304
Second Line :
City : SANTA CLARA
State : CA
Zip : 95054-1846
Country : US
Telephone Number : 323-205-7088
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2016
Last Update Date : 08/12/2025

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Directions to “ ILIANA RIVERA ” Practice Location

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