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NPI Code Detail

MEDICARE: MS. ELYSS RIVERA SAPON RN

MEDICARE:  MS. ELYSS RIVERA SAPON  RN
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
1163W00000XRegistered Nurse95195651CA

General Provider Information

NPI Number : 1902757388
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ELYSS RIVERA SAPON RN
Provider Business Mailing Address
First Line : 14435 HAMLIN ST STE 109
Second Line :
City : VAN NUYS
State : CA
Zip : 91401-6205
Country : US
Telephone Number : 818-997-7117
Fax Number : 818-997-0117
Provider Business Practice Location Address
First Line : 14435 HAMLIN ST STE 109
Second Line :
City : VAN NUYS
State : CA
Zip : 91401-6205
Country : US
Telephone Number : 818-997-7117
Fax Number : 818-997-0117
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2026
Last Update Date : 02/05/2026

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Directions to “ MS. ELYSS RIVERA SAPON RN” Practice Location

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