| Doctor Name: | DR. ANTHONY BRUCE RILEY |
| NPI Number: | 1356683551 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D., J.D. |
| License Number: | G62098 |
| Business Practice Address: | 10850 Macarthur Blvd Suite 303 Oakland, CA - 946055266 |
| Business Phone Number: | 5109694166 |
| Business Fax Number: | 5109694130 |
| Mailing Address: | 10850 Macarthur Blvd, Suite 303 OAKLAND |
| State: | CA |
| Postal Code: | 946055266 |
| Phone Number: | 5109694166 |
| Fax Number: | 5109694130 |
| NPI Enumeration Date: | 03/26/2013 |
| NPI Last Update Date: | 01/20/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | G62098 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |