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

Jesus Manuel Rivera Jr.

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1184589798

Jesus Manuel Rivera Jr. is a Student in an Organized Health Care Education/Training Program in Gardena, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

108 W Victoria St
Gardena, CA 90248-3523
Phone: (310) 715-2020
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (CA)

Record details

NPI number1184589798
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 17, 2025
Last updated in NPPESDecember 17, 2025
Certification dateDecember 17, 2025
Mailing address108 W Victoria St, Gardena, CA 90248-3523

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