REVIVAMED MEDICAL CORPORATION

SAN DIEGO, CA
NPI1609061498
Entity TypeOrganization
Authorized ContactROYA KOHANI
President
619-232-3040
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: CA  A64593)
Additional Taxonomies2086S0122X Surgery, Plastic and Reconstructive Surgery
(Licence: CA  A50365)
Enumeration Date2007-09-13
Last Update Date2007-09-13
Business Address
REVIVAMED MEDICAL CORPORATION
711 4TH AVE SUITE 200
SAN DIEGO, CA 92101-6970
Phone number: 619-232-3040
Mailing Address
REVIVAMED MEDICAL CORPORATION
711 4TH AVE SUITE 200
SAN DIEGO, CA 92101-6970
Phone number: 619-232-3040