Whalio Doctors

NPI 1073107850

Riviera Surgical Center LLC

Organisation Ambulatory Surgical Clinic/Center Bullhead City, AZ

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
Ambulatory Health Care Facilities Taxonomy 261QA1903X

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.