# REVIVE SURGERY CENTER PASADENA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255177242
- **Authorized official:** STEVUNI HARRISON (BILLING ADMINISTRATOR)
- **Authorized official phone:** (909) 710-2020

## Contact information

- **Practice address:** 333 S ARROYO PKWY FL 3, PASADENA, CA 91105-2581
- **Practice address phone:** (626) 537-3737
- **Practice address fax:** (626) 537-3738
- **Mailing address:** 333 S ARROYO PKWY FL 3, PASADENA, CA 91105-2581

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/08/2024
- **Last updated:** 07/08/2024