PACIFIC REJUVENATION MEDICAL, A PROFESSIONAL CORP – NPI #1528348620
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

PACIFIC REJUVENATION MEDICAL, A PROFESSIONAL CORP is a provider located in WEST HILLS, CA. NPPES has assigned the NPI number 1528348620 to PACIFIC REJUVENATION MEDICAL, A PROFESSIONAL CORP on August 19, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice. Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PACIFIC REJUVENATION MEDICAL, A PROFESSIONAL CORP below.

NPI Profile for
PACIFIC REJUVENATION MEDICAL, A PROFESSIONAL CORP

NPI Number
1528348620
Enumeration Date

(about 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PACIFIC REJUVENATION MEDICAL, A PROFESSIONAL CORP
Primary location
7230 MEDICAL CENTER DRIVE
SUITE 302
WEST HILLS, CA 91307
Phone: (818) 518-5980 Fax: (818) 337-2049
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GLEN FARKAS
MEDICAL DIRECTOR
Phone: (818) 610-9360
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
CA G56249
363A00000X
- Physician Assistant
CA PA17921
171100000X
- Acupuncturist
CA AC8403
111NN1001X
- Chiropractor / Nutrition
CA DC24805
103T00000X
- Psychologist
CA PSY22296

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.