Provider Demographics
NPI:1497064885
Name:RILEY, KHEFRI CYBELE
Entity Type:Individual
Prefix:MS
First Name:KHEFRI
Middle Name:CYBELE
Last Name:RILEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6210 CANTERBURY DR
Mailing Address - Street 2:UNIT 101
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90230-7153
Mailing Address - Country:US
Mailing Address - Phone:310-751-8958
Mailing Address - Fax:
Practice Address - Street 1:6210 CANTERBURY DR
Practice Address - Street 2:UNIT 101
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90230-7153
Practice Address - Country:US
Practice Address - Phone:310-751-8958
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-01
Last Update Date:2010-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula