| 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 |