Provider Demographics
NPI:1649598442
Name:TRIVEDI, RINA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RINA
Middle Name:
Last Name:TRIVEDI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8015 LIMONITE AVE
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92509-6108
Mailing Address - Country:US
Mailing Address - Phone:951-361-0263
Mailing Address - Fax:951-361-9413
Practice Address - Street 1:8015 LIMONITE AVE
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92509-6108
Practice Address - Country:US
Practice Address - Phone:951-361-0263
Practice Address - Fax:951-361-9413
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-04
Last Update Date:2010-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50319183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist