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REVITALIZE LIFE CENTER A PC
NPI 1679102248
Internal Medicine in Long Beach, CA

Active since April 06, 2020
3939 ATLANTIC AVE STE 100, LONG BEACH, CA 90807(562) 457-6010(562) 424-5600 Get Directions Write a Review

NPPES record last updated: April 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Revitalize Life Center A Pc NPPES

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

REVITALIZE LIFE CENTER A PC (NPI 1679102248) is a healthcare organization registered as an internal medicine in Long Beach, California and active in the NPI registry since April 2020. The organization lists Ebony D Foster, Billing Support, as its authorized official.

NPPES Registry Identity

NPI1679102248
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameREVITALIZE LIFE CENTER A PC
Location Address3939 ATLANTIC AVE STE 100Long Beach, CA 90807-3529
Mailing Address3939 Atlantic Ave Ste 100Long Beach, CA 90807-3529 · (562) 457-6010 · Fax (562) 424-5600
Phone(562) 457-6010
Fax(562) 424-5600
Organization SubpartNo
Authorized OfficialEbony D FosterBilling Support · (562) 457-6010
Enumeration DateApril 6, 2020
NPPES CertifiedApril 6, 2020
✔ NPI 1679102248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
3939 ATLANTIC AVE STE 100, Long Beach, CA 90807
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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 MULTIPLE SINGLE 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.

ROOTS ADDICTION AND PSYCHIATRY MEDICAL GROUP, PC
Psychiatry & Neurology (Psychiatry)
3939 ATLANTIC AVE STE 100
LONG BEACH, CA 90807
Los Angeles County (562) 473-0825
DANINA A RODRIGUEZ MA
Physician Assistant (Medical)
3939 ATLANTIC AVE STE 100
LONG BEACH, CA 90807
Los Angeles County (562) 633-1765
JESSICA A CISNEROS MA/ MANAGER
Physician Assistant (Medical)
3939 ATLANTIC AVE STE 100
LONG BEACH, CA 90807
Los Angeles County (562) 633-1765

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 Revitalize Life Center A PC's NPI number?

The NPI number for Revitalize Life Center A PC is 1679102248. It was assigned to this organization in the NPPES registry on April 6, 2020.

Where is Revitalize Life Center A PC located?

Revitalize Life Center A PC is located at 3939 Atlantic Ave Ste 100, Long Beach, CA 90807. The listed phone number is (562) 457-6010.

What is Revitalize Life Center A PC'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 Revitalize Life Center A PC was last updated on April 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.