Organization
REVIVAL MEDICAL SUPPLIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMAD ALI (CEO)
(347) 391-2751
Entity
Organization
Contact information
Practice address
9550 WARNER AVE STE 250-09, FOUNTAIN VALLEY, CA 92708-2800
(949) 229-5703
Mailing address
9550 WARNER AVE STE 250-09, FOUNTAIN VALLEY, CA 92708-2800
(949) 229-5703
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/15/2022
Last updated
08/19/2022
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