Pacific Rejuvenation Medical, a Professional Corp.

NPI #1023428521 in Los Angeles, California

Provider Information

NPI Number
1023428521
Entity Type
Organization
Organization Name
Pacific Rejuvenation Medical, a Professional Corp.
Subpart
Yes (part of a larger organization)
Parent Organization
PACIFIC REJUVENATION MEDICAL, A PROFESSIONAL CORP.
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
May 6, 2014
Last Updated
Oct 5, 2015

Practice Location

Address
6310 SAN VICENTE BLVD
Address 2
SUITE 220
ZIP Code
90048-5426
Phone
(818) 518-5980

Authorized Official

Name
DR. LYNN J. GOODLOE, M.D.
Title
MEDICAL DIRECTOR
Phone
(818) 518-5980

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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