VIDA REVIVAL LLC NPI 1952115149

NPI Details

VIDA REVIVAL LLC is an internal medicine in Thousand Oaks, CA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. VIDA REVIVAL LLC NPI is 1952115149. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3180 WILLOW LN STE 114
THOUSAND OAKS, CA
ZIP 91361-984
Phone: (818) 232-8432
Fax: (818) 232-8433

The provider's authorized official is Diana Alavi .
The authorized official title is Owner and has the following contact phone number (818) 232-8432.

The enumeration date for this NPI number is 2/6/2025 and was last updated on 2/6/2025.

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: