Revival Health Medical Group
NPI 1194490342 · General Practice Physician · Los Angeles, CA
Revival Health Medical Group is a General Practice Physician organization in Los Angeles, CA (NPI 1194490342).
Provider details
- NPI number
- 1194490342
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Eugene Kim, Ceo(703) 326-2029
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-08-10
- Last updated
- 2021-08-10
- Certified
- 2021-08-10
Frequently asked questions
- What is Revival Health Medical Group's NPI number?
- Revival Health Medical Group's National Provider Identifier (NPI) is 1194490342, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revival Health Medical Group?
- Revival Health Medical Group is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Revival Health Medical Group located?
- Revival Health Medical Group's practice location on file with NPPES is 4661 Wilshire Blvd Unit 105, Los Angeles, CA 90010-3931.
- What is Revival Health Medical Group's phone number?
- The practice phone number listed in the NPPES registry for Revival Health Medical Group is (703) 326-2029.
- Who is the authorized official for Revival Health Medical Group?
- The authorized official listed on Revival Health Medical Group's NPPES record is Eugene Kim, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revival Health Medical Group's NPI active?
- Yes — Revival Health Medical Group's NPI (1194490342) is active in the NPPES registry as of the last update on 2021-08-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.