Revivamed Medical Corporation
Revivamed Medical Corporation is an Internal Medicine Physician in San Diego, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
711 4th Ave Ste 200San Diego, CA 92101-6970
Phone: (619) 232-3040
Fax: (619) 232-3041
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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 · Licence A64593 (CA) |
|---|---|
| Plastic and Reconstructive Surgery Physician | Taxonomy 2086S0122X · Licence A50365 (CA) |
Record details
| NPI number | 1609061498 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Roya Kohani — President · (619) 232-3040 |
| NPI enumerated | September 13, 2007 |
| Last updated in NPPES | September 13, 2007 |
| Mailing address | 711 4th Ave, Suite 200, San Diego, CA 92101-6970 |
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