Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Revive Men's Health Inc

Organization Family Medicine Physician · NPI 1346077989

Revive Men's Health Inc provides Family Medicine Physician services in Pacoima, California. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13309 Van Nuys Blvd
Pacoima, CA 91331-3006
Phone: (818) 476-4717
Fax: (818) 476-4718
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1346077989
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Manuk Chulyan — Practice Owner · (818) 476-4717
NPI enumeratedSeptember 17, 2024
Last updated in NPPESNovember 11, 2024
Certification dateNovember 11, 2024
Mailing address13309 Van Nuys Blvd, Pacoima, CA 91331-3006

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