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Organization
REVIVE REGENERATIVE MEDICAL GROUP INC
Active
Organization
REVIVE REGENERATIVE MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMER MIGIRDICHIAN DC (CEO)
(949) 417-0420
Entity
Organization
Contact information
Practice address
4100 BIRCH ST STE 200, NEWPORT BEACH, CA 92660-2275
(949) 417-0420
(877) 631-2676
Mailing address
4100 BIRCH ST STE 200, NEWPORT BEACH, CA 92660-2275
(949) 417-0420
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
NULL
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
Other
Enumeration date
01/18/2024
Last updated
02/19/2024
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