Healthcare Provider Details

I. General information

NPI: 1457274979
Provider Name (Legal Business Name): REVIXA HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2026
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3612 ALLEGHENY ST
CORONA CA
92881-0987
US

IV. Provider business mailing address

3612 ALLEGHENY ST
CORONA CA
92881-0987
US

V. Phone/Fax

Practice location:
  • Phone: 319-202-0164
  • Fax:
Mailing address:
  • Phone: 319-202-0164
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: SABIRA RAHIM
Title or Position: DIRECTOR
Credential:
Phone: 319-202-0164