Organization · Type 2 NPI

Revival Health Medical Group

General Practice Physician · Los Angeles, CA

NPI number 1194490342 Active

About NPI 1194490342

Revival Health Medical Group's National Provider Identifier is 1194490342, issued on Aug 10, 2021. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 10, 2021.