NPI 1124099049

Benito Rivas, PAC

Practitioner Physician Assistant Orosi, CA

Practice location

Address: 12686 Avenue 416, Orosi, CA 93647-2054
Phone: (559) 528-4717
Fax: (559) 528-0302
Mailing address: 12683 Avenue 416, Orosi, CA 93647-2017

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA15862 (CA)

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Registry record

NPI: 1124099049
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jan 2006
Record last updated: 28 Nov 2019

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.