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

Revive Men's Health Inc

Organization Family Medicine Physician · NPI 1346077989

Revive Men's Health Inc is a Family Medicine Physician in Pacoima, California. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

13309 Van Nuys Blvd
Pacoima, CA 91331-3006
Phone: (818) 476-4717
Fax: (818) 476-4718
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1346077989
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Manuk Chulyan — Practice Owner · (818) 476-4717
NPI enumeratedSeptember 17, 2024
Last updated in NPPESNovember 11, 2024
Certification dateNovember 11, 2024
Mailing address13309 Van Nuys Blvd, Pacoima, CA 91331-3006

Other providers in Pacoima