Organization
REVIVE ANESTHESIA INC
Active
Other names
REVIVE ANESTHESIA INC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANO SHANAA MD (DIRECTOR)
(818) 854-6427
Entity
Organization
Contact information
Practice address
20315 VENTURA BLVD STE 315A, WOODLAND HILLS, CA 91364-2449
(818) 854-6427
(818) 854-6428
Mailing address
20315 VENTURA BLVD STE 315A, WOODLAND HILLS, CA 91364-2449
(818) 854-6427
(818) 854-6428
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
11/05/2018
Last updated
03/31/2025
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