Organization · Type 2 NPI

Revive Medical of San Diego

General Practice Physician · San Diego, CA

NPI number 1114484573 Active

Practice location

7220 Trade St Ste 209
San Diego, CA 92121-2326

Call (858) 800-1006 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1114484573

Revive Medical of San Diego's National Provider Identifier is 1114484573, issued on Feb 21, 2019. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in San Diego, CA. The record was last updated on Feb 21, 2019.