Revive Wellness Center

LBN: Revive Wellness Center
Revive Wellness Center is an health care organization with primary practice located at 22330 Hawthorne Blvd Suite J, Torrance CA 90505-2536. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Revive Wellness Center can be contacted via phone (310) 375-7599, or through Chase, Shonda via phone (310) 375-7599.

Contact Information

Primary practice address
22330 Hawthorne Blvd Suite J Torrance CA 90505-2536
Phone: (310) 375-7599
Fax: (310) 414-0777
Website:
Map and Directions
Authorized official contact:
Name: Chase, Shonda Family Nurse Practitioner (FNP)
Phone: (310) 375-7599

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 95003531 California

Profile Details

NPI number 1013372242
LBN Legal business name Revive Wellness Center
DBA Doing business as
Authorized official Chase, Shonda Family Nurse Practitioner (FNP)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2015
Last updated Dec 14th, 2015 - about 9 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.

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