John Revellame, TECHNICIAN

NPI 1982554986 · on the registry since 2026

Practice

Address: 7365 Carnelian St Ste 112
Rancho Cucamonga, CA 91730
Phone: (951) 344-5023
Organisation at this address: Amcsi
Ebi, Llc
Zmt Care Llc.
Hook Labs Llc
Alied Five Star
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 45

Registry record

Primary taxonomy: Technician
374700000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-01-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California