Organization · Type 2 NPI

Revivex Healthcare Inc

Non-Pharmacy Dispensing Site · Torrance, CA

NPI number 1083087613 Active

Practice location

23150 Crenshaw Blvd Ste 100
Torrance, CA 90505-3025

Fax (888) 431-8819

Specialties and licenses

Taxonomy	Code	License
Non-Pharmacy Dispensing Site Primary	332900000X	A109016

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

3 other providers at this address

Other non-pharmacy dispensing site providers in Torrance

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NPI record

NPI: 1083087613
Entity type: Organization (Type 2)
Issued: Nov 4, 2015
Last updated: Mar 22, 2024
Status: Active

Other names

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Pacific Pain & Wellness Group · doing business as
Pacific Pain & Wellness Group · doing business as

Authorized official

Kartik Ananth
Owner
(310) 437-7399

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1083087613

Revivex Healthcare Inc's National Provider Identifier is 1083087613, issued on Nov 4, 2015. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Torrance, CA. The record was last updated on Mar 22, 2024.