Revival Health Medical Group PA
Revival Health Medical Group PA provides General Practice Physician services in Los Angeles, California. Registered with an NPI since 2021.
- In the registry since
- 2021
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4661 Wilshire Blvd Unit 105Los Angeles, CA 90010-3931
Phone: (703) 326-2029
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X |
|---|
Record details
| NPI number | 1730856659 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Eugene Kim — President · (703) 326-2029 |
| NPI enumerated | August 27, 2021 |
| Last updated in NPPES | August 27, 2021 |
| Certification date | August 10, 2021 |
| Mailing address | 1601 N Sepulveda Blvd # 103, Manhattan Beach, CA 90266-5111 |
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