| NPI | 1285102525 |
|---|---|
| Other Name | REVIVE ANESTHESIA INC |
| Entity Type | Organization |
| Authorized Contact | MANO SHANAA Director 818-854-6427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2019-09-26 |