REVIVAL HEALTH MEDICAL GROUP PA

LOS ANGELES, CA
NPI1730856659
Entity TypeOrganization
Authorized ContactEUGENE L. KIM
President
703-326-2029
Organization Subpart ?No
Primary Taxonomy208D00000X General Practice
Enumeration Date2021-08-27
Last Update Date2021-08-27
Business Address
REVIVAL HEALTH MEDICAL GROUP PA
4661 WILSHIRE BLVD UNIT 105
LOS ANGELES, CA 90010-3931
Phone number: 703-326-2029
Mailing Address
REVIVAL HEALTH MEDICAL GROUP PA
1601 N SEPULVEDA BLVD # 103
MANHATTAN BEACH, CA 90266-5111
Phone number: 703-326-2029
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