# REVIVA CLINIC

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

## Provider details

- **NPI number:** 1669352738
- **Authorized official:** JIHO CHOI MD (OWNER)
- **Authorized official phone:** (301) 893-4568

## Contact information

- **Practice address:** 4216 EVERGEEN LANE, STE 125, ANNANDALE, VA 22003-3456
- **Practice address phone:** (240) 284-9501
- **Practice address fax:** (703) 662-6165
- **Mailing address:** 5185 MACARTHUR BLVD NW \# 713, WASHINGTON, DC 20016-3341
- **Mailing address phone:** (301) 893-4568
- **Mailing address fax:** (240) 427-9710

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/08/2025
- **Last updated:** 03/19/2026
