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REVITALIFE MEDICAL CENTER
NPI 1912759820
Family Medicine in Hawthorne, CA

Active since April 03, 2024
14650 AVIATION BLVD, HAWTHORNE, CA 90250(310) 545-1154(310) 545-1132 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Revitalife Medical Center NPPES

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

REVITALIFE MEDICAL CENTER (NPI 1912759820) is a healthcare organization registered as a family medicine in Hawthorne, California and active in the NPI registry since April 2024. The organization lists Khoi Vu, Md, as its authorized official.

NPPES Registry Identity

NPI1912759820
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameREVITALIFE MEDICAL CENTER
Location Address14650 AVIATION BLVDHawthorne, CA 90250-6668
Mailing Address14650 Aviation BlvdHawthorne, CA 90250-6668 · (310) 545-1154 · Fax (310) 545-1132
Phone(310) 545-1154
Fax(310) 545-1132
Organization SubpartNo
Authorized OfficialKhoi VuMd · (310) 545-1154
Enumeration DateApril 3, 2024
NPPES CertifiedApril 3, 2024
✔ NPI 1912759820 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.
14650 AVIATION BLVD, Hawthorne, CA 90250
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Other Names 1

Doing Business AsRevitalife Medical Center

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

Other Providers at the Same Location NPPES 13

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

MR. BRANDT CLARK PT
Physical Therapist
14650 AVIATION BLVD, #100
HAWTHORNE, CA 90250
Los Angeles County (310) 725-9018
JAMES WU MD INC
Dermatology
14650 AVIATION BLVD
HAWTHORNE, CA 90250
Los Angeles County (310) 643-9333
MR. TIMOTHY J MCCALL P.T.
Physical Therapist
14650 AVIATION BLVD, SUITE 100
HAWTHORNE, CA 90250
Los Angeles County (310) 725-8505
MRS. LIZA TRINIDAD MCGILL PT, DPT
Physical Therapist
14650 AVIATION BLVD, SUITE 100
HAWTHORNE, CA 90250
Los Angeles County (310) 725-8505
M.D.S.C., INC.
Dentist (General Practice)
14650 AVIATION BLVD, SUITE 185
HAWTHORNE, CA 90250
Los Angeles County (310) 643-9711
DR. JOHN KEITH NYLUND MD
Dermatology
14650 AVIATION BLVD, SUITE 235
HAWTHORNE, CA 90250
Los Angeles County (310) 643-9333
PATRICK K TURLEY DDS MSD
Dentist (Oral and Maxillofacial Pathology)
14650 AVIATION BLVD, SUITE 220
HAWTHORNE, CA 90250
Los Angeles County (310) 546-5097
ANDREA T CLOW L.AC, LMT
Acupuncturist
14650 AVIATION BLVD, SUITE 100
HAWTHORNE, CA 90250
Los Angeles County (310) 725-8505

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 Revitalife Medical Center's NPI number?

The NPI number for Revitalife Medical Center is 1912759820. It was assigned to this organization in the NPPES registry on April 3, 2024.

Where is Revitalife Medical Center located?

Revitalife Medical Center is located at 14650 Aviation Blvd, Hawthorne, CA 90250. The listed phone number is (310) 545-1154.

What is Revitalife Medical Center'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 Revitalife Medical Center was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.