| NPI | 1912759820 |
|---|---|
| Doing Business As | REVITALIFE MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | KHOI VU Md 310-545-1154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2024-04-03 |
| Last Update Date | 2024-04-03 |