Revive Rejuvenation Center Anti Aging Regenerative Center Inc
Revive Rejuvenation Center Anti Aging Regenerative Center Inc is a Clinic/Center in LA Jolla, California. Registered with an NPI since 2018.
- In the registry since
- 2018
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
7509 Draper Ave Ste ALA Jolla, CA 92037-4857
Phone: (858) 352-6200
Fax: (858) 362-7555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X |
|---|
Record details
| NPI number | 1588166094 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michelle Gutierrez — Credentialing Specialist · (619) 501-6278 |
| NPI enumerated | March 1, 2018 |
| Last updated in NPPES | March 21, 2018 |
| Mailing address | 7509 Draper Ave, La Jolla, CA 92037-4862 |
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