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

Revival DME Corp

Organization Durable Medical Equipment & Medical Supplies · NPI 1609343797

Revival DME Corp is a Durable Medical Equipment & Medical Supplies in San Diego, California. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4025 Camino Del Rio S Ste 300
San Diego, CA 92108-4108
Phone: (619) 542-7738
Show map & directions

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

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X

Record details

NPI number1609343797
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Jefferson — President · (951) 490-3751
NPI enumeratedOctober 27, 2018
Last updated in NPPESOctober 27, 2018
Mailing address4025 Camino Del Rio S Ste 300, San Diego, CA 92108-4108

Other providers in San Diego