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NPI Code Detail

MEDICARE: KARINA LIZBETH CERVANTES RIVERA

MEDICARE: KARINA LIZBETH CERVANTES 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
1104100000XSocial WorkerASW121181CA

General Provider Information

NPI Number : 1578161998
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARINA LIZBETH CERVANTES RIVERA
Provider Business Mailing Address
First Line : 2934 N FRESNO ST
Second Line :
City : FRESNO
State : CA
Zip : 93703-1123
Country : US
Telephone Number : 559-549-6697
Fax Number :
Provider Business Practice Location Address
First Line : 2115 KERN ST
Second Line :
City : FRESNO
State : CA
Zip : 93721-2108
Country : US
Telephone Number : 559-764-3623
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2020
Last Update Date : 04/02/2026

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Directions to “ KARINA LIZBETH CERVANTES RIVERA ” Practice Location

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