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

Revivex Healthcare Inc

Organization Clinical Psychologist · NPI 1174800452

Revivex Healthcare Inc is a Clinical Psychologist in Torrance, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011
Specialties on file
5
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

23510 Crenshaw Blvd Ste 100
Torrance, CA 90505-5203
Phone: (310) 437-7399
Fax: (310) 437-7398
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Psychiatry & Neurology) Physician (primary) Taxonomy 2084P2900X (CA)
Clinical Psychologist Taxonomy 103TC0700X (CA)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X (CA)
Psychiatry Physician Taxonomy 2084P0800X (CA)
Interventional Pain Medicine Physician Taxonomy 208VP0014X (CA)

Record details

NPI number1174800452
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kartik Ananth — President · (310) 437-7399
Other names Pacific Pain & Wellness Group
NPI enumeratedNovember 15, 2011
Last updated in NPPESMarch 22, 2024
Certification dateMarch 22, 2024
Mailing address23150 Crenshaw Blvd Ste 100, Torrance, CA 90505-3025

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