Organization
PACIFIC REJUVINATION MEDICAL A PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLEN FARKAS MD (MEDICAL DIRECTOR)
(818) 518-5980
Entity
Organization
Contact information
Practice address
701 E 28TH ST STE 100, LONG BEACH, CA 90806-2769
(562) 269-0300
Mailing address
7230 MEDICAL CENTER DR STE 100, WEST HILLS, CA 91307-4001
(818) 518-5980
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Enumeration date
01/11/2016
Last updated
06/01/2021
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