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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RIVIERA STANFORD

Active Sole Proprietor

RIVIERA STANFORD is a Specialist/Technologist, Surgical healthcare provider located in GLENDALE, California. NPI 1871322768 is currently active in the NPPES registry. Verify at CMS.

Specialist/Technologist, Surgical · GLENDALE, CA

Registration Details

NPI Number
1871322768
Provider Type
Individual
Gender
Male
NPI Issued
Jul 29, 2024 (2.0662028617168 yrs)
Last Updated
Jul 29, 2024
License
130028
Sole Proprietor
Yes

Practice Information

Address
1162 SONORA AVE
GLENDALE, CA, 912011937
Browse CA providers · Browse ZIP 91201
Phone
8182424984
Primary Specialty
Specialist/Technologist, Surgical
246Z00000X

Other Specialist/Technologist, Surgical Providers in GLENDALE, CA

Name Credential NPI
BRITTANIE CHEYENNE BOTTOMS 1245963776
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.