PACIFIC REJUVENATION MEDICAL A PROFESSIONAL CORP NPI 1528348620

NPI Information

  • NPI: 1528348620
  • Provider Name: PACIFIC REJUVENATION MEDICAL, A PROFESSIONAL CORP
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 7230 MEDICAL CENTER DRIVE
    SUITE 302
    WEST HILLS, CA
    ZIP 91307
  • Phone: (818) 518-5980

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NPI Details

PACIFIC REJUVENATION MEDICAL, A PROFESSIONAL CORP is a general practice in West Hills, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PACIFIC REJUVENATION MEDICAL, A PROFESSIONAL CORP NPI is 1528348620. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7230 MEDICAL CENTER DRIVE
SUITE 302
WEST HILLS, CA
ZIP 91307
Phone: (818) 518-5980
Fax: (818) 337-2049

The provider's authorized official is Glen Farkas .
The authorized official title is Medical Director and has the following contact phone number (818) 610-9360.

The enumeration date for this NPI number is 8/19/2011 and was last updated on 8/19/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103T00000XPsychologistPSY22296CALIFORNIANo
2111NN1001XChiropractorNutritionDC24805CALIFORNIANo
3171100000XAcupuncturistAC8403CALIFORNIANo
4363A00000XPhysician AssistantPA17921CALIFORNIANo
5208D00000XGeneral PracticeG56249CALIFORNIAYes

What is NPI?

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This page was last updated on: 3/30/2025

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