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

VIDA REVIVAL MEDICAL CORPORATION

Active Organization

VIDA REVIVAL MEDICAL CORPORATION is a Primary Care Clinic organization located in THOUSAND OAKS, California. NPI 1780560870 is currently active in the NPPES registry. Verify at CMS.

Primary Care Clinic · THOUSAND OAKS, CA

Registration Details

NPI Number
1780560870
Provider Type
Organization
NPI Issued
Aug 13, 2025 (1.0358276045824 yrs)
Last Updated
Aug 13, 2025

Practice Information

Address
3180 WILLOW LN STE 114
THOUSAND OAKS, CA, 913614984
Browse CA providers · Browse ZIP 91361
Phone
8182328432
Fax
8182328433
Primary Specialty
Primary Care Clinic
261QP2300X

Other Primary Care Clinic Organizations in THOUSAND OAKS, 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.