| Oc Revive | |
|
24432 Muirlands Blvd Ste 221 Lake Forest CA 92630-3951 | |
| (949) 510-3358 | |
| Not Available |
| Full Name | Oc Revive |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 24432 Muirlands Blvd Ste 221, Lake Forest, California |
| Authorized Official Name and Position | Tyler Michaelis (CEO) |
| Authorized Official Contact | 9496064681 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oc Revive 24432 Muirlands Blvd Ste 221 Lake Forest CA 92630-3951 Ph: (949) 510-3358 | Oc Revive 24432 Muirlands Blvd Ste 221 Lake Forest CA 92630-3951 Ph: (949) 510-3358 |
| NPI Number | 1508333477 |
|---|---|
| Provider Enumeration Date | 10/30/2018 |
| Last Update Date | 09/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508333477 | NPI | - | NPPES |
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