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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PACIFIC REJUVENATION MEDICAL, A PROFESSIONAL CORP is a general practice in West Hills, CA. 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
1	103T00000X	Psychologist		PSY22296	CALIFORNIA	No
2	111NN1001X	Chiropractor	Nutrition	DC24805	CALIFORNIA	No
3	171100000X	Acupuncturist		AC8403	CALIFORNIA	No
4	363A00000X	Physician Assistant		PA17921	CALIFORNIA	No
5	208D00000X	General Practice		G56249	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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