Revitalife Medical Center
Revitalife Medical Center provides Family Medicine Physician services in Hawthorne, California. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
14650 Aviation BlvdHawthorne, CA 90250-6668
Phone: (310) 545-1154
Fax: (310) 545-1132
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1912759820 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Khoi Vu — Md · (310) 545-1154 |
| Other names | Revitalife Medical Center |
| NPI enumerated | April 3, 2024 |
| Last updated in NPPES | April 3, 2024 |
| Certification date | April 3, 2024 |
| Mailing address | 14650 Aviation Blvd, Hawthorne, CA 90250-6668 |
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