Organization
REVIVE WOUND CARE CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT AZIZI MD (CEO)
(310) 409-9059
Entity
Organization
Contact information
Practice address
7021 SEVILLE AVE, HUNTINGTON PARK, CA 90255-4903
(833) 736-3988
(310) 943-3150
Mailing address
8218 GARFIELD AVE, BELL GARDENS, CA 90201-6212
(310) 943-3150
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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