Revive Men's Health INC
NPI #1346077989 in Pacoima, California
Provider Information
- NPI Number
- 1346077989
- Entity Type
- Organization
- Organization Name
- Revive Men's Health INC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Sep 17, 2024
- Last Updated
- Nov 11, 2024
Practice Location
- Address
- 13309 VAN NUYS BLVD
- City
- Pacoima
- State
- California
- ZIP Code
- 91331-3006
- Phone
- (818) 476-4717
Authorized Official
- Name
- MANUK CHULYAN, PA-C
- Title
- PRACTICE OWNER
- Phone
- (818) 476-4717
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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