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

Revive Wellness Group

Organization Substance Use Disorder Rehabilitation Clinic/Center · NPI 1922868827

Revive Wellness Group is a Substance Use Disorder Rehabilitation Clinic/Center in Tarzana, California. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3
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Practice location Address checks out

5401 Vanalden Ave
Tarzana, CA 91356-3129
Phone: (818) 634-7091
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X
Substance Use Disorder Rehabilitation Hospital Unit Taxonomy 276400000X

Record details

NPI number1922868827
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevork Shahinian — Cfo · (818) 634-7091
NPI enumeratedMarch 19, 2024
Last updated in NPPESOctober 4, 2024
Certification dateSeptember 24, 2024
Mailing address9528 Topanga Canyon Blvd, Chatsworth, CA 91311-4011

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