Organization · Type 2 NPI
Revival Health Medical Group
General Practice Physician · Los Angeles, CA
NPI number
1194490342
Active
Practice location
4661 Wilshire Blvd Unit 105
Los Angeles, CA 90010-3931
Mailing address
1601 N Sepulveda Blvd # 103
Manhattan Beach, CA 90266-5111
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None 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.
Another provider at this address
Other general practice physician providers in Los Angeles
- Sang Y. Kim, M.d., Inc.General Practice Physician Los Angeles, CA NPI 1003832858
- Joseph Sciabbarrasi, M.d., IncGeneral Practice Physician Los Angeles, CA NPI 1013037811
- Omar E Espinosa MD IncGeneral Practice Physician Los Angeles, CA NPI 1013218627
- Whittier Fetterly Medical Clinic Inc.General Practice Physician Los Angeles, CA NPI 1023151040
- David K. Young, M.d., Inc.General Practice Physician Los Angeles, CA NPI 1023223914
- St. Johns Urgent Care & Medical CorporationGeneral Practice Physician Los Angeles, CA NPI 1023524980
- Marina Kovalevsky, M.d., A Professional CorporationGeneral Practice Physician Los Angeles, CA NPI 1033164579
- Peter Farmer M.d. Inc.General Practice Physician Los Angeles, CA NPI 1033380431
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.