| Revivex Healthcare Inc | |
|
23510 Crenshaw Blvd Ste 100 Torrance CA 90505-5203 | |
| (310) 437-7399 | |
| (310) 437-7398 |
| Full Name | Revivex Healthcare Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 23510 Crenshaw Blvd Ste 100, Torrance, California |
| Authorized Official Name and Position | Kartik Ananth (PRESIDENT) |
| Authorized Official Contact | 3104377399 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Revivex Healthcare Inc 23150 Crenshaw Blvd Ste 100 Torrance CA 90505-3025 Ph: (310) 437-7399 | Revivex Healthcare Inc 23510 Crenshaw Blvd Ste 100 Torrance CA 90505-5203 Ph: (310) 437-7399 |
| NPI Number | 1174800452 |
|---|---|
| Provider Enumeration Date | 11/15/2011 |
| Last Update Date | 03/22/2024 |
| Certification Date | 03/22/2024 |
| Medicare PECOS PAC ID | 7810163482 |
|---|---|
| Medicare Enrollment ID | O20120103000273 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174800452 | NPI | - | NPPES |
| Provider Name | Kartik Ananth |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1821279423 PECOS PAC ID: 0941353213 Enrollment ID: I20111005000795 |
| Provider Name | Gelareh Solomon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457582140 PECOS PAC ID: 9638390073 Enrollment ID: I20141028000917 |
Holt Consulting Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 23639 Hawthorne Blvd, 201, Torrance, CA 90505 Phone: 310-373-3420 | |
Deparement Of Mantal Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 W Carson St, Torrance, CA 90502 Phone: 310-222-1648 Fax: 310-222-5651 | |
Rite Of Passage Adolescent Treatment Centers And Schools, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1691 Gramercy Ave, Torrance, CA 90501 Phone: 310-320-0195 | |
Mindful Life Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 18411 Crenshaw Blvd Ste 432, Torrance, CA 90504 Phone: 310-750-7448 | |
Kevin Stephanoff, M.d., Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 23700 Camino Del Sol, Torrance, CA 90505 Phone: 310-308-9014 | |
The Talking Corner Family Therapy Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1154 Jasmine Walk, Torrance, CA 90502 Phone: 213-533-9224 | |
Addis Medical Group A Medical Corporation Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 23700 Camino Del Sol, Torrance, CA 90505 Phone: 310-530-1151 Fax: 310-626-9390 |