MEDICARE: DR. NATALIE RIVERA MD

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	390200000X	Student in an Organized Health Care Education/Training Program
2	207V00000X	Obstetrics & Gynecology Physician	A192170	CA

General Provider Information

NPI Number	:	1427687680
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NATALIE RIVERA MD

Provider Business Mailing Address
First Line	:	19330 JESSE LN STE 100
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92508-5077
Country	:	US
Telephone Number	:	844-827-8000
Fax Number	:	951-236-7237

Provider Business Practice Location Address
First Line	:	19330 JESSE LN STE 100
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92508-5077
Country	:	US
Telephone Number	:	844-827-8000
Fax Number	:	951-236-7237

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

Provider Enumeration Date	:	04/08/2020
Last Update Date	:	07/18/2024

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