| Reviva Clinic | |
|
4216 Evergeen Lane Ste 125 Annandale VA 22003-3456 | |
| (240) 284-9501 | |
| (703) 662-6165 |
| Full Name | Reviva Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 4216 Evergeen Lane, Annandale, Virginia |
| Authorized Official Name and Position | Jiho Choi (OWNER) |
| Authorized Official Contact | 3018934568 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reviva Clinic 5185 Macarthur Blvd Nw # 713 Washington DC 20016-3341 Ph: (301) 893-4568 | Reviva Clinic 4216 Evergeen Lane Ste 125 Annandale VA 22003-3456 Ph: (240) 284-9501 |
| NPI Number | 1669352738 |
|---|---|
| Provider Enumeration Date | 09/08/2025 |
| Last Update Date | 03/19/2026 |
| Certification Date | 03/19/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669352738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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