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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

REVIVAMED MEDICAL CORPORATION

Active Organization

REVIVAMED MEDICAL CORPORATION is a Internal Medicine organization located in SAN DIEGO, California. NPI 1609061498 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · SAN DIEGO, CA

Registration Details

NPI Number
1609061498
Provider Type
Organization
NPI Issued
Sep 13, 2007 (18.943848299156 yrs)
Last Updated
Sep 13, 2007
Licenses
A50365 (CA)
A64593 (CA)

Practice Information

Address
711 4TH AVE
SUITE 200
SAN DIEGO, CA, 921016970
Browse CA providers · Browse ZIP 92101
Phone
6192323040
Fax
6192323041
Primary Specialty
Internal Medicine
207R00000X
Additional Specialty
Internal Medicine

Other Internal Medicine Organizations in SAN DIEGO, CA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.