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Contact Information

LANCE RIVAS, PA
2826 HARRIS ST
EUREKA, CA95503
 Phone: 707-443-8066
 Fax: 707-268-3251
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for LANCE RIVAS · (Male)

NPI Number 1346422821
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 11/27/2007
Last updated 11/10/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 20085
  • IL License # 085-003145
Hospital affiliation(s)
  • REDWOOD MEMORIAL HOSPITAL - (Critical Access)
    3300 RENNER DRIVE
    FORTUNA, CA 95540
  • ST JOSEPH HOSPITAL - (Acute Care)
    2700 DOLBEER ST
    EUREKA, CA 95501
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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