| Revive,a Medical Corporation | |
|
4310 Tradewinds Dr Ste 300 Oxnard CA 93035-1410 | |
| (805) 889-2511 | |
| (866) 242-5109 |
| Full Name | Revive,a Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 4310 Tradewinds Dr Ste 300, Oxnard, California |
| Authorized Official Name and Position | Paul S Weinberg (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9074423321 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revive,a Medical Corporation 4310 Tradewinds Dr Ste 300 Oxnard CA 93035-1410 Ph: (661) 993-8941 | Revive,a Medical Corporation 4310 Tradewinds Dr Ste 300 Oxnard CA 93035-1410 Ph: (805) 889-2511 |
| NPI Number | 1659912905 |
|---|---|
| Provider Enumeration Date | 10/07/2019 |
| Last Update Date | 10/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659912905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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