Riley Anthony Cordova
Military Health Care Provider, Independent Duty Corpsman in San Diego, CA. Individual provider (NPI-1).
NPI number1073432225
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1073432225
- Entity type
- Individual (NPI-1)
- Name
- Riley Anthony Cordova
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2026
- Certification date
- Jul 10, 2026
- Last updated
- Jul 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1710I1002X | Military Health Care Provider, Independent Duty Corpsman | – | – | Yes |
Practice location
34101 Farenholt Ave Bldg 14San Diego, CA 92134-7000
Phone 323-479-2317
Mailing address
34101 Farenholt Ave Bldg 14San Diego, CA 92134-7000
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