Revive Regenerative Medical Group Inc
Revive Regenerative Medical Group Inc is a Public Health & General Preventive Medicine Physician in Newport Beach, 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.
Practice location Address checks out
4100 Birch St Ste 200Newport Beach, CA 92660-2275
Phone: (949) 417-0420
Fax: (877) 631-2676
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Public Health & General Preventive Medicine Physician (primary) | Taxonomy 2083P0901X |
|---|
Record details
| NPI number | 1376304113 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kamer Migirdichian — Ceo · (949) 417-0420 |
| NPI enumerated | January 18, 2024 |
| Last updated in NPPES | February 19, 2024 |
| Certification date | February 19, 2024 |
| Mailing address | 4100 Birch St Ste 200, Newport Beach, CA 92660-2275 |
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