REVIVAMED MEDICAL CORPORATION
Radiology at 4 Ave, San Diego, CA

License number
California A64593
Category
Osteopathic Medicine
Type
Internal Medicine
License number
California A50365
Category
Radiology
Type
Plastic and Reconstructive Surgery
Owner
Name: ROYA KOHANI M.D.
Title: PRESIDENT
Phone: (619) 232-3040
Address
Address
711 4Th Ave SUITE 200, San Diego, CA 92101
National Provider ID: 1609061498
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about REVIVAMED MEDICAL CORPORATION at bizstanding.com

REVIVAMED MEDICAL CORP

711 4 Ave STE 200, San Diego, CA 92101

Registration:
Aug 13, 2007
State ID:
C3012305
Business type:
Articles of Incorporation
President:
Roya Kohani (President)
Agent:
Kian J Samimi,San Diego, CA 92101 (Physical)

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