Revitalize Wellness Center Inc

LBN: Revitalize Wellness Center Inc
Revitalize Wellness Center Inc is an health care organization with primary practice located at 2501 W Shaw Ave Ste 113 , Fresno CA 93711-3307. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as the primary health care specialty. Revitalize Wellness Center Inc can be contacted via phone (559) 507-3760, or through Malik, Shazia Tabasum via phone (559) 507-3760.

Contact Information

Primary practice address
2501 W Shaw Ave Ste 113 Fresno CA 93711-3307
Phone: (559) 507-3760
Fax: (539) 238-2199
Website:
Map and Directions
Authorized official contact:
Name: Malik, Shazia Tabasum
Phone: (559) 507-3760

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1003637448
LBN Legal business name Revitalize Wellness Center Inc
DBA Doing business as
Authorized official Malik, Shazia Tabasum
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2024
Last updated Apr 14th, 2026 - about 7 months 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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