Revive Psychiatric Center
Revive Psychiatric Center is a Psychologist in San Diego, California. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
12636 High Bluff DrSan Diego, CA 92130-2022
Phone: (858) 877-1750
Fax: (855) 554-1110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X |
|---|---|
| Psychologist | Taxonomy 103T00000X |
Record details
| NPI number | 1588333611 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Hedieh Azadmehr — President · (858) 877-1750 |
| Other names | Revive Psychiatric And Psychological Center |
| NPI enumerated | September 11, 2021 |
| Last updated in NPPES | September 11, 2021 |
| Certification date | September 11, 2021 |
| Mailing address | 12636 High Bluff Dr, San Diego, CA 92130-2022 |
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