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Organization
REVIVE MEN'S HEALTH INC
Active
Organization
REVIVE MEN'S HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUK CHULYAN PA-C (PRACTICE OWNER)
(818) 476-4717
Entity
Organization
Contact information
Practice address
13309 VAN NUYS BLVD, PACOIMA, CA 91331-3006
(818) 476-4717
(818) 476-4718
Mailing address
13309 VAN NUYS BLVD, PACOIMA, CA 91331-3006
(818) 476-4717
(818) 476-4718
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/17/2024
Last updated
11/11/2024
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