REVIVE WELLNESS CENTER – NPI #1013372242
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Health Care Provider Taxonomy Code for Clinic/Center

REVIVE WELLNESS CENTER is an AHC clinic located in TORRANCE, CA. NPPES has assigned the NPI number 1013372242 to REVIVE WELLNESS CENTER on December 14, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM2500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Medical Specialty

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 WELLNESS CENTER below.

NPI Profile for
REVIVE WELLNESS CENTER

NPI Number
1013372242
Enumeration Date

(more than 10 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 WELLNESS CENTER
Primary location
22330 HAWTHORNE BLVD
SUITE J
TORRANCE, CA 90505-2536
Phone: (310) 375-7599 Fax: (310) 414-0777
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SHONDA CHASE
OWNER
Phone: (310) 375-7599
Updated
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
261QM2500X
- Clinic/Center / Medical Specialty (Primary)		 CA 95003531

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.