Pacific Rejuvenation Medical, A Professional Corp.

LBN: Pacific Rejuvenation Medical, A Professional Corp.
Pacific Rejuvenation Medical, A Professional Corp. is an health care organization with primary practice located at 6310 San Vicente Blvd Suite 220, Los Angeles CA 90048-5426. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Pacific Rejuvenation Medical, A Professional Corp. can be contacted via phone (818) 518-5980, or through Goodloe, Lynn J. via phone (818) 518-5980.

Contact Information

Primary practice address
6310 San Vicente Blvd Suite 220 Los Angeles CA 90048-5426
Phone: (818) 518-5980
Fax: (818) 337-2049
Website:
Map and Directions
Authorized official contact:
Name: Goodloe, Lynn J. Doctor of Medicine (MD)
Phone: (818) 518-5980

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X G44674 California

Profile Details

NPI number 1023428521
LBN Legal business name Pacific Rejuvenation Medical, A Professional Corp.
DBA Doing business as
Authorized official Goodloe, Lynn J. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date May 6th, 2014
Last updated Oct 5th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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