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REVIVE REGENERATIVE MEDICAL GROUP INC NPI 1376304113


NPI Information

NPI: 1376304113
Provider Name: REVIVE REGENERATIVE MEDICAL GROUP INC
Classification: Preventive Medicine - 2083P0901X
Entity Type: Organization

Specialization: Public Health & General Preventive Medicine

Address:
4100 BIRCH ST STE 200
NEWPORT BEACH, CA
ZIP 92660
Phone: (949) 417-0420
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REVIVE REGENERATIVE MEDICAL GROUP INC is a public health and general preventive medicine preventive medicine in Newport Beach, CA. The provider is public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. REVIVE REGENERATIVE MEDICAL GROUP INC NPI is 1376304113. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4100 BIRCH ST STE 200
NEWPORT BEACH, CA
ZIP 92660-275
Phone: (949) 417-0420
Fax: (877) 631-2676

The provider's authorized official is Kamer Migirdichian .
The authorized official title is Ceo and has the following contact phone number (949) 417-0420.

The enumeration date for this NPI number is 1/18/2024 and was last updated on 2/19/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12083P0901XPreventive MedicinePublic Health & General Preventive MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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