| Revive Medspa | |
|
1425 Frazee Rd San Diego CA 92108-4347 | |
| (619) 293-7233 | |
| Not Available |
| Full Name | Revive Medspa |
|---|---|
| Speciality | Clinic/center |
| Location | 1425 Frazee Rd, San Diego, California |
| Authorized Official Name and Position | Vishal Verma (OWNER) |
| Authorized Official Contact | 6192937233 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Medspa 1425 Frazee Rd San Diego CA 92108-4347 Ph: (619) 293-7233 | Revive Medspa 1425 Frazee Rd San Diego CA 92108-4347 Ph: (619) 293-7233 |
| NPI Number | 1356130884 |
|---|---|
| Provider Enumeration Date | 05/01/2025 |
| Last Update Date | 05/01/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356130884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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