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Organization
REVISE HEALTH
Active
Organization
REVISE HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN SIMONSON MD (PHYSICIAN)
(323) 283-9998
Entity
Organization
Contact information
Practice address
3201 WILSHIRE BLVD STE 211B, SANTA MONICA, CA 90403-2344
(323) 283-9998
Mailing address
3201 WILSHIRE BLVD STE 211B, SANTA MONICA, CA 90403-2344
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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