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Contact Information

TONY RIVERA, ATC
3169 JUANITA ST
RIVERSIDE, CA92504-4513
 Phone: 909-641-1711
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207PS0010X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for TONY RIVERA · (Male)

NPI # 1508712043
Status Active
Credentials ATC
Entity Individual
Enumeration date 03/06/2026
Last updated 03/06/2026 - About 3 months ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 2000058675
Hospital affiliation(s) Not Available
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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