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

Revival Medical Supplies, Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1154076404

Revival Medical Supplies, Inc is a Durable Medical Equipment & Medical Supplies in Fountain Valley, California. Registered with an NPI since 2022.

In the registry since
2022
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

9550 Warner Ave Ste 250-09
Fountain Valley, CA 92708-2800
Phone: (949) 229-5703
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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 number1154076404
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Emad Ali — Ceo · (347) 391-2751
NPI enumeratedFebruary 15, 2022
Last updated in NPPESAugust 19, 2022
Certification dateAugust 19, 2022
Mailing address9550 Warner Ave Ste 250-09, Fountain Valley, CA 92708-2800

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