Revive Rejuvenation Center Anti Aging Regenerative Center Inc
NPI 1588166094 · Clinic/Center · La Jolla, CA
Revive Rejuvenation Center Anti Aging Regenerative Center Inc is a Clinic/Center organization in La Jolla, CA (NPI 1588166094).
Provider details
- NPI number
- 1588166094
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michelle Gutierrez, Credentialing Specialist(619) 501-6278
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
- 2018-03-01
- Last updated
- 2018-03-21
Frequently asked questions
- What is Revive Rejuvenation Center Anti Aging Regenerative Center Inc's NPI number?
- Revive Rejuvenation Center Anti Aging Regenerative Center Inc's National Provider Identifier (NPI) is 1588166094, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revive Rejuvenation Center Anti Aging Regenerative Center Inc?
- Revive Rejuvenation Center Anti Aging Regenerative Center Inc is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Revive Rejuvenation Center Anti Aging Regenerative Center Inc located?
- Revive Rejuvenation Center Anti Aging Regenerative Center Inc's practice location on file with NPPES is 7509 Draper Ave Ste a, La Jolla, CA 92037-4857.
- What is Revive Rejuvenation Center Anti Aging Regenerative Center Inc's phone number?
- The practice phone number listed in the NPPES registry for Revive Rejuvenation Center Anti Aging Regenerative Center Inc is (858) 352-6200.
- Who is the authorized official for Revive Rejuvenation Center Anti Aging Regenerative Center Inc?
- The authorized official listed on Revive Rejuvenation Center Anti Aging Regenerative Center Inc's NPPES record is Michelle Gutierrez, Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revive Rejuvenation Center Anti Aging Regenerative Center Inc's NPI active?
- Yes — Revive Rejuvenation Center Anti Aging Regenerative Center Inc's NPI (1588166094) is active in the NPPES registry as of the last update on 2018-03-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.