Pacific Rejuvenation Medical, a Professional Corp.
NPI #1831519156 in West Hills, California
Provider Information
- NPI Number
- 1831519156
- 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
- Apr 25, 2014
- Last Updated
- Oct 5, 2015
Practice Location
- Address
- 7230 MEDICAL CENTER DR
- Address 2
- SUITE 302
- City
- West Hills
- State
- California
- ZIP Code
- 91307-1907
- Phone
- (818) 518-5980
Authorized Official
- Name
- DR. GLEN C. FARKAS, M.D.
- Title
- MEDICAL DIRECTOR
- Phone
- (818) 518-5980
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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