| Reviva Wound Care Specialists | |
|
701 W Kimberly Ave Ste 270 Placentia CA 92870-6342 | |
| (657) 444-1233 | |
| Not Available |
| Full Name | Reviva Wound Care Specialists |
|---|---|
| Speciality | Family Medicine |
| Location | 701 W Kimberly Ave Ste 270, Placentia, California |
| Authorized Official Name and Position | Sieghart Ponhold (CEO) |
| Authorized Official Contact | 6574441233 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reviva Wound Care Specialists 701 W Kimberly Ave Ste 270 Placentia CA 92870-6342 Ph: (657) 444-1233 | Reviva Wound Care Specialists 701 W Kimberly Ave Ste 270 Placentia CA 92870-6342 Ph: (657) 444-1233 |
| NPI Number | 1275325474 |
|---|---|
| Provider Enumeration Date | 05/22/2025 |
| Last Update Date | 05/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275325474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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