Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mark Jefferson Rivera, MD

Individual provider Plastic and Reconstructive Surgery Physician · NPI 1780045682

Dr. Mark Jefferson Rivera, MD is a Plastic and Reconstructive Surgery Physician in Beverly Hills, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9735 Wilshire Blvd
Beverly Hills, CA 90212-2107
Phone: (661) 251-6300
Fax: (661) 443-8424
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033 — (323) 268-5000

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A157872 (CA)
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X · Licence A157872 (CA)

Record details

NPI number1780045682
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 19, 2016
Last updated in NPPESAugust 24, 2023
Certification dateAugust 24, 2023

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