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

Isreal Revivo

Individual provider Marriage & Family Therapist · NPI 1902623325

Isreal Revivo is a Marriage & Family Therapist in Roseville, California. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

3400 Douglas Blvd Ste 170
Roseville, CA 95661-4281
Phone: (818) 406-6689
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10443 Arminta St, Sun Valley, CA 91352-4109 — (818) 406-6689

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X

Record details

NPI number1902623325
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 25, 2024
Last updated in NPPESOctober 18, 2024
Certification dateOctober 18, 2024

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