Organization
REVIVE REJUVENATION CENTER ANTI AGING REGENERATIVE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE GUTIERREZ (CREDENTIALING SPECIALIST)
(619) 501-6278
Entity
Organization
Contact information
Practice address
7509 DRAPER AVE STE A, LA JOLLA, CA 92037-4857
(858) 352-6200
(858) 362-7555
Mailing address
7509 DRAPER AVE, LA JOLLA, CA 92037-4862
(858) 352-6200
(858) 362-7555
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/01/2018
Last updated
03/21/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us