Organization
REVIVE INJECTION CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNA GOODWIN FNP-C (CO-OWNER)
(818) 536-8165
Entity
Organization
Contact information
Practice address
27833 AVENUE HOPKINS STE 6, VALENCIA, CA 91355-4562
(661) 407-8507
Mailing address
28207 TANGERINE LN, SANTA CLARITA, CA 91350-3257
(818) 536-8165
(818) 536-8165
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/15/2026
Last updated
01/15/2026
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