Revitawound Incorporated
Revitawound Incorporated is an Internal Medicine Physician in Burbank, California. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
146 N San Fernando Blvd Ste 213Burbank, CA 91502-1230
Phone: (562) 506-6577
Fax: (747) 877-8189
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X |
|---|
Record details
| NPI number | 1538982533 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jennifer Mata — Owner · (562) 506-6577 |
| NPI enumerated | November 7, 2024 |
| Last updated in NPPES | November 19, 2024 |
| Certification date | November 19, 2024 |
| Mailing address | 146 N San Fernando Blvd Ste 213, Burbank, CA 91502-1230 |
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