Rivello Wound Care Specialists Pc | |
6737 W Wren Ave, Visalia, CA 93291-8344 | |
(760) 542-6615 | |
Not Available |
Full Name | Rivello Wound Care Specialists Pc |
---|---|
Type | Facility |
Speciality | Internal Medicine |
Location | 6737 W Wren Ave, Visalia, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104622554 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | George J Rivello |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1912263336 PECOS PAC ID: 9638487168 Enrollment ID: I20151002002425 |
Provider Name | Katherine A Hylan |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1538516240 PECOS PAC ID: 0042502163 Enrollment ID: I20160711002138 |
Provider Name | Firas Y Naji |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1578883997 PECOS PAC ID: 9436393618 Enrollment ID: I20211130001221 |
Provider Name | Katherine A Hylan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538516240 PECOS PAC ID: 0042502163 Enrollment ID: I20230605001016 |
Provider Name | Geoffrey Benin De Castro |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174236756 PECOS PAC ID: 3173987807 Enrollment ID: I20230914001349 |
Mailing Address | Practice Location Address |
---|---|
Rivello Wound Care Specialists Pc 6737 W Wren Ave, Visalia, CA 93291-8344 Ph: (760) 542-6615 | Rivello Wound Care Specialists Pc 6737 W Wren Ave, Visalia, CA 93291-8344 Ph: (760) 542-6615 |