Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
REVITALIZE INTEGRATED BODY SYSTEMS
Active
Organization
REVITALIZE INTEGRATED BODY SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELIQUE WAITE D.C. (PRESIDENT)
(408) 295-9970
Entity
Organization
Contact information
Practice address
1618 EL CAMINO REAL, MENLO PARK, CA 94025-4112
(408) 295-9970
Mailing address
1618 EL CAMINO REAL, MENLO PARK, CA 94025-4112
(408) 295-9970
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC30496
CA
Other
Enumeration date
03/09/2010
Last updated
03/09/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up