| Revive Men's Health Inc | |
|
13309 Van Nuys Blvd Pacoima CA 91331-3006 | |
| (818) 476-4717 | |
| (818) 476-4718 |
| Full Name | Revive Men's Health Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 13309 Van Nuys Blvd, Pacoima, California |
| Authorized Official Name and Position | Manuk Chulyan (PRACTICE OWNER) |
| Authorized Official Contact | 8184764717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Men's Health Inc 13309 Van Nuys Blvd Pacoima CA 91331-3006 Ph: (818) 476-4717 | Revive Men's Health Inc 13309 Van Nuys Blvd Pacoima CA 91331-3006 Ph: (818) 476-4717 |
| NPI Number | 1346077989 |
|---|---|
| Provider Enumeration Date | 09/17/2024 |
| Last Update Date | 11/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346077989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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