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Contact Information

JUAN C DE LA RIVA, MD
2 W FERN AVE
REDLANDS, CA92373
 Phone: 909-786-0725
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for JUAN C DE LA RIVA · (Male)

NPI # 1467409664
Status Active
Credentials MD
Entity Individual
Enumeration date 05/31/2006
Last updated 02/25/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # G58822
Hospital affiliation(s)
  • REDLANDS COMMUNITY HOSPITAL - (Acute Care)
    350 TERRACINA BLVD
    REDLANDS, CA 92373
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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