VIDA REVIVAL LLC

NPI # 

Practice Address:

3180 Willow Ln Ste 114

Thousand Oaks, CA, 91361-4984

Practice Phone:

818-232-8432

Practice Fax:

818-232-8433

Taxonomy Grouping:

Allopathic & Osteopathic Physicians

Taxonomy Classification:

Internal Medicine

Taxonomy Code:

207R00000X

Updated by NPPES on 2/6/2025. You can view the original data set for NPI # 1952115149 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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VIDA REVIVAL LLC's

CMS CPT® coding data

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