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NPI Code Detail

MEDICARE: JOSE ROBERTO RIVERA ZAFRA

MEDICARE:   JOSE ROBERTO RIVERA ZAFRA
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
1224Z00000XOccupational Therapy Assistant483829CA

General Provider Information

NPI Number : 1316639388
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSE ROBERTO RIVERA ZAFRA
Provider Business Mailing Address
First Line : 9124 TELFAIR AVE UNIT 10
Second Line :
City : SUN VALLEY
State : CA
Zip : 91352-1812
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9124 TELFAIR AVE UNIT 10
Second Line :
City : SUN VALLEY
State : CA
Zip : 91352-1812
Country : US
Telephone Number : 323-472-3019
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2023
Last Update Date : 05/25/2023

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Directions to “ JOSE ROBERTO RIVERA ZAFRA ” Practice Location

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