Pacific Rejuvination Medical A Professional Corp

LBN: Pacific Rejuvination Medical A Professional Corp
Pacific Rejuvination Medical A Professional Corp is an health care organization with primary practice located at 701 E 28Th St Ste 100 , Long Beach CA 90806-2769. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. Pacific Rejuvination Medical A Professional Corp can be contacted via phone (562) 269-0300, or through Farkas, Glen via phone (818) 518-5980.

Contact Information

Primary practice address
701 E 28Th St Ste 100 Long Beach CA 90806-2769
Phone: (562) 269-0300
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Farkas, Glen Doctor of Medicine (MD)
Phone: (818) 518-5980

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X

Profile Details

NPI number 1700242419
LBN Legal business name Pacific Rejuvination Medical A Professional Corp
DBA Doing business as
Authorized official Farkas, Glen Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2016
Last updated Jun 1st, 2021 - about 4 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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