| NPI | 1114335239 |
|---|---|
| Doing Business As | REVIV FUNCTIONAL PSYCHIATRY & TMS WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | HINA SIDHU Owner/Provider 714-871-9357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2024-06-24 |