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Organization
REVIVE ANESTHESIA INC
Active
Organization
REVIVE ANESTHESIA INC
Active
Other names
REVIVE ANESTHESIA INC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANO SHANAA MD (DIRECTOR)
(818) 854-6427
Entity
Organization
Contact information
Practice address
20315 VENTURA BLVD STE 315A, WOODLAND HILLS, CA 91364-2449
(818) 854-6427
(818) 854-6428
Mailing address
20315 VENTURA BLVD STE 315A, WOODLAND HILLS, CA 91364-2449
(818) 854-6427
(818) 854-6428
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
11/05/2018
Last updated
03/31/2025
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