Vida Revival Medical Corporation
Vida Revival Medical Corporation provides Primary Care Clinic/Center services in Thousand Oaks, California. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
3180 Willow Ln Ste 114Thousand Oaks, CA 91361-4984
Phone: (818) 232-8432
Fax: (818) 232-8433
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X |
|---|
Record details
| NPI number | 1780560870 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Diana Alavi — Md/ Ceo · (818) 232-8452 |
| NPI enumerated | August 13, 2025 |
| Last updated in NPPES | August 13, 2025 |
| Certification date | August 13, 2025 |
| Mailing address | 3180 Willow Ln Ste 114, Thousand Oaks, CA 91361-4984 |
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