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REVIVEA MEDICAL CORPORATION NPI 1659912905


NPI Information

NPI: 1659912905
Provider Name: REVIVE,A MEDICAL CORPORATION
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
4310 TRADEWINDS DR STE 300
OXNARD, CA
ZIP 93035
Phone: (805) 889-2511
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REVIVE,A MEDICAL CORPORATION is a family medicine in Oxnard, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. REVIVE,A MEDICAL CORPORATION NPI is 1659912905. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4310 TRADEWINDS DR STE 300
OXNARD, CA
ZIP 93035-410
Phone: (805) 889-2511
Fax: (866) 242-5109

The provider's authorized official is Paul S Weinberg .
The authorized official title is Medical Director and has the following contact phone number (907) 442-3321.

The enumeration date for this NPI number is 10/7/2019 and was last updated on 10/7/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily 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: 11/14/2023

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