Revitalife Medical Center
NPI #1912759820 in Hawthorne, California
Provider Information
- NPI Number
- 1912759820
- Entity Type
- Organization
- Organization Name
- Revitalife Medical Center
- Primary Specialty
- Family Medicine
- Enumeration Date
- Apr 3, 2024
- Last Updated
- Apr 3, 2024
Practice Location
- Address
- 14650 AVIATION BLVD
- City
- Hawthorne
- State
- California
- ZIP Code
- 90250-6668
- Phone
- (310) 545-1154
Authorized Official
- Name
- KHOI VU
- Title
- MD
- Phone
- (310) 545-1154
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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