REVIVE SURGERY CENTER PASADENA LLC – NPI #1255177242
Clinic/Center

REVIVE SURGERY CENTER PASADENA LLC is an AHC clinic located in PASADENA, CA. NPPES has assigned the NPI number 1255177242 to REVIVE SURGERY CENTER PASADENA LLC on July 08, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for REVIVE SURGERY CENTER PASADENA LLC below.

NPI Profile for
REVIVE SURGERY CENTER PASADENA LLC

NPI Number
1255177242
Enumeration Date

(about 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
REVIVE SURGERY CENTER PASADENA LLC
Primary location
333 S ARROYO PKWY FL 3
PASADENA, CA 91105-2581
Phone: (626) 537-3737 Fax: (626) 537-3738
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
STEVUNI HARRISON
BILLING ADMINISTRATOR
Phone: (909) 710-2020
Updated
Certification Date
Jul 08, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.