Revitalife Medical Center

LBN: Revitalife Medical Center
Revitalife Medical Center is an health care organization with primary practice located at 14650 Aviation Blvd , Hawthorne CA 90250-6668. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Revitalife Medical Center can be contacted via phone (310) 545-1154, or through Vu, Khoi via phone (310) 545-1154.

Contact Information

Primary practice address
14650 Aviation Blvd Hawthorne CA 90250-6668
Phone: (310) 545-1154
Fax: (310) 545-1132
Website:
Map and Directions
Authorized official contact:
Name: Vu, Khoi
Phone: (310) 545-1154

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1912759820
LBN Legal business name Revitalife Medical Center
DBA Doing business as
Authorized official Vu, Khoi
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2024
Last updated Apr 3rd, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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