Revivamed Medical Corporation

LBN: Revivamed Medical Corporation
Revivamed Medical Corporation is an health care organization with primary practice located at 711 4Th Ave Suite 200, San Diego CA 92101-6970. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Revivamed Medical Corporation can be contacted via phone (619) 232-3040, or through Kohani, Roya via phone (619) 232-3040.

Contact Information

Primary practice address
711 4Th Ave Suite 200 San Diego CA 92101-6970
Phone: (619) 232-3040
Fax: (619) 232-3041
Website:
Map and Directions
Authorized official contact:
Name: Kohani, Roya Doctor of Medicine (MD)
Phone: (619) 232-3040

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A64593 California
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X A50365 California

Profile Details

NPI number 1609061498
LBN Legal business name Revivamed Medical Corporation
DBA Doing business as
Authorized official Kohani, Roya Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2007
Last updated Sep 13th, 2007 - about 19 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.

Request for update

Popular Providers