Revive Wellness
ActiveCalifornia license 559904
License
- Licensed by
- Medical Board of California
- License number
- 559904
- Status
- Active (Current)
- First issued
- July 24, 2025
- Expires
- July 31, 2027
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
4567 W Pico Blvd
Los Angeles, CA 90019
Los Angeles, CA 90019
Los Angeles County