Revival Health Medical Group PA
NPI 1730856659 · General Practice Physician · Los Angeles, CA
Revival Health Medical Group PA is a General Practice Physician organization in Los Angeles, CA (NPI 1730856659).
Provider details
- NPI number
- 1730856659
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Eugene Kim, President(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
- 2021-08-27
- Last updated
- 2021-08-27
- Certified
- 2021-08-10
Frequently asked questions
- What is Revival Health Medical Group PA's NPI number?
- Revival Health Medical Group PA's National Provider Identifier (NPI) is 1730856659, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revival Health Medical Group PA?
- Revival Health Medical Group PA is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Revival Health Medical Group PA located?
- Revival Health Medical Group PA's practice location on file with NPPES is 4661 Wilshire Blvd Unit 105, Los Angeles, CA 90010-3931.
- What is Revival Health Medical Group PA's phone number?
- The practice phone number listed in the NPPES registry for Revival Health Medical Group PA is (703) 326-2029.
- Who is the authorized official for Revival Health Medical Group PA?
- The authorized official listed on Revival Health Medical Group PA's NPPES record is Eugene Kim, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revival Health Medical Group PA's NPI active?
- Yes — Revival Health Medical Group PA's NPI (1730856659) is active in the NPPES registry as of the last update on 2021-08-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.