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REVIVA CLINIC
NPI 1669352738
Family Medicine in Annandale, VA

Active since September 08, 2025
4216 EVERGEEN LANE, STE 125, ANNANDALE, VA 22003(240) 284-9501(703) 662-6165 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 19, 2026, Sep 15, 2025, Sep 14, 2025 (3 updates tracked since 2025).

About Reviva Clinic NPPES

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

REVIVA CLINIC (NPI 1669352738) is a healthcare organization registered as a family medicine in Annandale, Virginia and active in the NPI registry since September 2025. The organization lists Jiho Choi, Owner, as its authorized official.

NPPES Registry Identity

NPI1669352738
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameREVIVA CLINIC
Location Address4216 EVERGEEN LANE, STE 125Annandale, VA 22003-3456
Mailing Address5185 Macarthur Blvd Nw # 713Washington, DC 20016-3341 · (301) 893-4568 · Fax (240) 427-9710
Phone(240) 284-9501
Fax(703) 662-6165
Organization SubpartNo
Authorized OfficialJiho ChoiOwner · (301) 893-4568
Enumeration DateSeptember 8, 2025
Last NPPES UpdateMarch 19, 20263 updates tracked since enumeration
NPPES CertifiedMarch 19, 2026
✔ NPI 1669352738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4216 EVERGEEN LANE, Annandale, VA 22003
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Reviva Clinic's NPI number?

The NPI number for Reviva Clinic is 1669352738. It was assigned to this organization in the NPPES registry on September 8, 2025.

Where is Reviva Clinic located?

Reviva Clinic is located at 4216 Evergeen Lane Ste 125, Annandale, VA 22003. The listed phone number is (240) 284-9501.

What is Reviva Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Reviva Clinic was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.