REVIVAL HEALTH MEDICAL GROUP PA is a general practice in Los Angeles, CA. REVIVAL HEALTH MEDICAL GROUP PA NPI is 1730856659. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
4661 WILSHIRE BLVD UNIT 105
LOS ANGELES, CA
ZIP 90010-931
Phone: (703) 326-2029
The provider's authorized official is Eugene L. Kim .
The authorized official title is President and has the following contact phone number (703) 326-2029.
The enumeration date for this NPI number is 8/27/2021 and was last updated on 8/27/2021.