Revive Medical Group Ca PC
Revive Medical Group Ca PC is a Psychiatry Physician in Mount Shasta, California. Registered with an NPI since 2024.
- In the registry since
- 2024
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
914 Pine StMount Shasta, CA 96067-2143
Phone: (203) 430-1321
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X |
|---|
Record details
| NPI number | 1518724624 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Omar Ziyadeh — Ceo/Manager · (203) 430-1321 |
| NPI enumerated | March 5, 2024 |
| Last updated in NPPES | March 5, 2024 |
| Certification date | March 5, 2024 |
| Mailing address | 81 Roanoke Ave, Fairfield, CT 06824-6124 |
Other providers in Mount Shasta
-
Nicholas Patrick Brown, DO
214 E Lake St, Mount Shasta, CA 96067-2331 · (530) 435-5048
-
Dr. Beth Elaine Wadman, MD
214 E Lake St, Mount Shasta, CA 96067-2331 · (530) 435-5048