Organization · Type 2 NPI

Revive Injection Clinic

Medical Specialty Clinic/Center · Valencia, CA

NPI number 1104784297 Active

Practice location

27833 Avenue Hopkins Ste 6
Valencia, CA 91355-4562

Mailing address

28207 Tangerine Ln
Santa Clarita, CA 91350-3257

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XNone listed

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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About NPI 1104784297

Revive Injection Clinic's National Provider Identifier is 1104784297, issued on Jan 15, 2026. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Valencia, CA. The record was last updated on Jan 15, 2026.