| Revise Health | |
|
3201 Wilshire Blvd Ste 211b Santa Monica CA 90403-2344 | |
| (323) 283-9998 | |
| Not Available |
| Full Name | Revise Health |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3201 Wilshire Blvd Ste 211b, Santa Monica, California |
| Authorized Official Name and Position | Kevin Simonson (PHYSICIAN) |
| Authorized Official Contact | 3232839998 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revise Health 3201 Wilshire Blvd Ste 211b Santa Monica CA 90403-2344 Ph: () - | Revise Health 3201 Wilshire Blvd Ste 211b Santa Monica CA 90403-2344 Ph: (323) 283-9998 |
| NPI Number | 1184487928 |
|---|---|
| Provider Enumeration Date | 02/05/2024 |
| Last Update Date | 02/05/2024 |
| Certification Date | 02/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184487928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
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