NPI 1003214297

Shannon Rivera, PAC

Practitioner Physician Assistant West Covina, CA

Practice location

Address: 1115 S Sunset Ave, West Covina, CA 91790-3940
Phone: (626) 962-4011
Mailing address: 9449 Imperial Hwy, Downey, CA 90242-2814

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 52148 (CA)

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Registry record

NPI: 1003214297
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Dec 2014
Record last updated: 13 Dec 2021

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.