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

Revitalize Life Center a PC

Organization Internal Medicine Physician · NPI 1679102248

Revitalize Life Center a PC is an Internal Medicine Physician in Long Beach, California. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3939 Atlantic Ave Ste 100
Long Beach, CA 90807-3529
Phone: (562) 457-6010
Fax: (562) 424-5600
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

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1679102248
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ebony Foster — Billing Support · (562) 457-6010
NPI enumeratedApril 6, 2020
Last updated in NPPESApril 6, 2020
Certification dateApril 6, 2020
Mailing address3939 Atlantic Ave Ste 100, Long Beach, CA 90807-3529

Other providers in Long Beach