VIDA REVIVAL MEDICAL CORPORATION

THOUSAND OAKS, CA
NPI1780560870
Entity TypeOrganization
Authorized ContactDIANA ALAVI
Md/ CEO
818-232-8452
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2025-08-13
Last Update Date2025-08-13
Business Address
VIDA REVIVAL MEDICAL CORPORATION
3180 WILLOW LN STE 114
THOUSAND OAKS, CA 91361-4984
Phone number: 818-232-8432
Mailing Address
VIDA REVIVAL MEDICAL CORPORATION
3180 WILLOW LN STE 114
THOUSAND OAKS, CA 91361-4984
Phone number: 818-232-8432
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