VIDA REVIVAL LLC

THOUSAND OAKS, CA
NPI1952115149
Entity TypeOrganization
Authorized ContactDIANA ALAVI
Owner
818-232-8432
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2025-02-06
Last Update Date2025-02-06
Business Address
VIDA REVIVAL LLC
3180 WILLOW LN STE 114
THOUSAND OAKS, CA 91361-4984
Phone number: 818-232-8432
Mailing Address
VIDA REVIVAL LLC
3180 WILLOW LN STE 114
THOUSAND OAKS, CA 91361-4984
Phone number: 818-232-8432
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