Revive Medical Supplies
Durable Medical Equipment & Medical Supplies
1617 S Burlington Ave, Los Angeles
California, 90006-2567
949-390-9105 Revive Medical Supplies is a Durable Medical Equipment & Medical Supplies in Los Angeles, California. It is located at 1617 S Burlington Ave, Los Angeles and it's customer support contact number is 949-390-9105. The authorized person of Revive Medical Supplies is Cory Jacobsen, MBA who is Ceo of this DME and his contact number is 949-390-9105. Revive Medical Supplies accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Revive Medical Supplies is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Revive Medical Supplies type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Revive Medical Supplies |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 1617 S Burlington Ave, Los Angeles,
California, 90006-2567 |
| Phone: | 949-390-9105 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Cory Jacobsen |
| Credentials: | MBA |
| Position: | Ceo |
| Contact Number: | 949-390-9105 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1467073098 |
| NPI Enumeration Date: | 05 May, 2020 |
| NPI Last Update On: | 04 Jan, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Revive Medical Supplies are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | | | Primary | |
Medicare Enrollment:
Revive Medical Supplies is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 0648685214 | O20210211001778 | Revive Medical Supplies | DME SUPPLIER - MEDICAL SUPPLY COMPANY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 811457,
Los Angeles, California |
| Zip: | 90081-0008 |
| Phone Number: | 949-390-9105 |
Patients can reach Revive Medical Supplies at
1617 S Burlington Ave, Los Angeles, California or can
call on customer care at 949-390-9105.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.