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Revivamed Medical Corporation
Plastic and Reconstructive Surgery Physician in San Diego, California
NPI 1609061498

Revivamed Medical Corporation is a Plastic and Reconstructive Surgery Physician based in San Diego, CA and is specialized in Plastic and Reconstructive Surgery. Revivamed Medical Corporation practices in San Diego, CA. The NPI Number for Revivamed Medical Corporation is 1609061498 and holds a License No. A64593 (California).

The current practice location address for Revivamed Medical Corporation is 711 4Th Ave, San Diego, CA and can be reached out via phone at 619-232-3040 and via fax at 619-232-3041.

Location: 711 4Th Ave, San Diego, CA, 92101-6970
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609061498
Provider Name
Revivamed Medical Corporation
Credential
Provider Entity Type
Organization
Address
711 4Th Ave, San Diego, CA, 92101-6970
Phone Number
619-232-3040
Fax Number
619-232-3041
Provider Enumeration Date
09/13/2007
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
711 4Th Ave
City
San Diego
State
California
Zip
92101-6970
Phone Number
619-232-3040
Fax Number
619-232-3041
person
Provider Business Mailing Address Details
Address
711 4Th Ave
City
San Diego
State
California
Zip
92101-6970
Phone Number
619-232-3040
Fax Number
619-232-3041
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
A50365 (California)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
2086S0122X
License No.
A64593 (California)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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