Revive Medical of San Diego
NPI #1114484573 in San Diego, California
Provider Information
- NPI Number
- 1114484573
- Entity Type
- Organization
- Organization Name
- Revive Medical of San Diego
- Primary Specialty
- General Practice
- Enumeration Date
- Feb 21, 2019
- Last Updated
- Feb 21, 2019
Practice Location
- Address
- 7220 TRADE ST STE 209
- City
- San Diego
- State
- California
- ZIP Code
- 92121-2326
- Phone
- (858) 800-1006
Authorized Official
- Name
- KEVIN BROWN, DC
- Title
- OWNER/PROVIDER
- Phone
- (951) 440-1652
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
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