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Contact Information

REVIVERSHIP
162 S. RANCHO SANTA FE RD.
A-30
ENCINITAS, CA92024
 Phone: 858-956-0077
 Fax:
 Website:
Indicates primary specialty

NPI Profile & details for REVIVERSHIP

NPI Number 1922764067
LBN Legal business name REVIVERSHIP
Authorized official STEVE LEISHER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/12/2021
Last updated 11/12/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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