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NPI Code Detail

MEDICARE: YAMILETH DEL ROSARIO RIVAS

MEDICARE: YAMILETH DEL ROSARIO RIVAS
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
1106H00000XMarriage & Family TherapistLMFT123009CA
2101YM0800XMental Health CounselorIMF94098CA
3106H00000XMarriage & Family TherapistIMF94098CA

General Provider Information

NPI Number : 1649727116
Entity Type Code : Individual
Provider Name (Legal Business Name) : YAMILETH DEL ROSARIO RIVAS
Provider Business Mailing Address
First Line : 4211 AVALON BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90011-5622
Country : US
Telephone Number : 323-802-0325
Fax Number :
Provider Business Practice Location Address
First Line : 4211 AVALON BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90011-5622
Country : US
Telephone Number : 323-802-0325
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2016
Last Update Date : 06/05/2026

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Directions to “ YAMILETH DEL ROSARIO RIVAS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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