Revitalize Integrated Body Systems

LBN: Revitalize Integrated Body Systems
Revitalize Integrated Body Systems is an health care organization with primary practice located at 1618 El Camino Real , Menlo Park CA 94025-4112. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Revitalize Integrated Body Systems can be contacted via phone (408) 295-9970, or through Waite, Angelique via phone (408) 295-9970.

Contact Information

Primary practice address
1618 El Camino Real Menlo Park CA 94025-4112
Phone: (408) 295-9970
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Waite, Angelique Doctor of Chiropractic (DC)
Phone: (408) 295-9970

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC30496 California

Profile Details

NPI number 1124341813
LBN Legal business name Revitalize Integrated Body Systems
DBA Doing business as
Authorized official Waite, Angelique Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2010
Last updated Mar 9th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers