| NPI | 1003164385 |
|---|---|
| Doing Business As | REVIVIFY RESTORATIVE MEDICINE |
| Doing Business As | STRIVE SPORTS & FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | STEPHEN M DAQUINO Medical Director 858-429-0099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: CA 20A8442) |
| Enumeration Date | 2012-08-17 |
| Last Update Date | 2020-07-29 |