| Doctor Name: | MRS. JACQUELYN LEE RIVERA |
| NPI Number: | 1811028871 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW, PPSC |
| License Number: | |
| Business Practice Address: | 111 N La Brea Ave Ste 700 Inglewood, CA - 903014651 |
| Business Phone Number: | 3106777808 |
| Business Fax Number: | |
| Mailing Address: | 2021 E. 4th St., #204 SANTA ANA |
| State: | CA |
| Postal Code: | 92705 |
| Phone Number: | 7145470885 |
| Fax Number: | 7145478352 |
| NPI Enumeration Date: | 03/08/2007 |
| NPI Last Update Date: | 08/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 374700000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Nursing Service Related Providers |
| Taxonomy Classification: | Technician |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) A person with specialized training in a narrow field of expertise whose occupation requires training and is skilled in specific technical processes and procedures. (2) An individual having special skill or practical knowledge in an area, such as operation and maintenance of equipment or performance of laboratory procedures involving biochemical analyses. Special technical qualifications are normally required, though an increasing number or technicians also possess university degrees in science, and occasionally doctorate degrees. The distinction between technician and technologist in the health care field is not always clear. |