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REVIVAMED MEDICAL CORPORATION
NPI 1609061498
Internal Medicine in San Diego, CA

Active since September 13, 2007
711 4TH AVE, SUITE 200, SAN DIEGO, CA 92101(619) 232-3040(619) 232-3041 Get Directions Write a Review

NPPES record last updated: September 13, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Revivamed Medical Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REVIVAMED MEDICAL CORPORATION (NPI 1609061498) is a healthcare organization registered as an internal medicine in San Diego, California and active in the NPI registry since September 2007. The organization lists Roya Kohani, President, as its authorized official.

NPPES Registry Identity

NPI1609061498
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameREVIVAMED MEDICAL CORPORATION
Location Address711 4TH AVE, SUITE 200San Diego, CA 92101-6970
Mailing Address711 4th Ave, Suite 200San Diego, CA 92101-6970 · (619) 232-3040 · Fax (619) 232-3041
Phone(619) 232-3040
Fax(619) 232-3041
Organization SubpartNo
Authorized OfficialRoya KohaniPresident · (619) 232-3040
Enumeration DateSeptember 13, 2007
✔ NPI 1609061498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A64593
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedSurgery · Plastic and Reconstructive SurgeryTaxonomy 2086S0122X · License A50365 (CA)
711 4TH AVE, San Diego, CA 92101
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KINSELLA ACUPUNCTURE PROFESSIONAL CORPORATION
Acupuncturist
711 4TH AVE, SUITE 201
SAN DIEGO, CA 92101
San Diego County (619) 955-1050
MS. KRISTELYN BROOKS WACHNER L.AC.
Acupuncturist
711 4TH AVE, SUITE 201
SAN DIEGO, CA 92101
San Diego County (619) 398-5157
KIAN J SAMIMI MD
Plastic Surgery
711 4TH AVE, SUITE 200
SAN DIEGO, CA 92101
San Diego County (619) 232-3040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Revivamed Medical Corporation's NPI number?

The NPI number for Revivamed Medical Corporation is 1609061498. It was assigned to this organization in the NPPES registry on September 13, 2007.

Where is Revivamed Medical Corporation located?

Revivamed Medical Corporation is located at 711 4th Ave Suite 200, San Diego, CA 92101. The listed phone number is (619) 232-3040.

What is Revivamed Medical Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Revivamed Medical Corporation was last updated on September 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.