Revive Medical of San Diego
Revive Medical of San Diego is a General Practice Physician in San Diego, California. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
7220 Trade St Ste 209San Diego, CA 92121-2326
Phone: (858) 800-1006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X |
|---|
Record details
| NPI number | 1114484573 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kevin Brown — Owner/Provider · (951) 440-1652 |
| NPI enumerated | February 21, 2019 |
| Last updated in NPPES | February 21, 2019 |
| Mailing address | 7220 Trade St Ste 209, San Diego, CA 92121-2326 |
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