NPI 1073107850
Riviera Surgical Center LLC
Practice location
- Address
- 3003 Az-95 #63, Bullhead City, AZ 86442
- Phone
- (909) 994-5105
Authorised official
- Name
- Jack Diep
- Title
- Administrator
- Phone
- (928) 505-7246
Registered specialties
Ambulatory Surgical Clinic/Center
Primary
Registry record
- NPI
- 1073107850
- Entity type
- Organization
- NPI issued
- 23 Feb 2021
- Record last updated
- 17 Dec 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.