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PACIFIC REJUVENATION MEDICAL, A PROFESSIONAL CORP
NPI 1528348620
General Practice in West Hills, CA

Active since August 19, 2011
7230 MEDICAL CENTER DRIVE, SUITE 302, WEST HILLS, CA 91307(818) 518-5980(818) 337-2049 Get Directions Write a Review

NPPES record last updated: August 19, 2011. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Pacific Rejuvenation Medical, A Professional Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PACIFIC REJUVENATION MEDICAL, A PROFESSIONAL CORP (NPI 1528348620) is a healthcare organization registered as a general practice in West Hills, California and active in the NPI registry since August 2011. The organization lists Glen Farkas, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1528348620
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePACIFIC REJUVENATION MEDICAL, A PROFESSIONAL CORP
Location Address7230 MEDICAL CENTER DRIVE, SUITE 302West Hills, CA 91307
Mailing Address7230 Medical Center Drive, Suite 302West Hills, CA 91307 · (818) 518-5980 · Fax (818) 337-2049
Phone(818) 518-5980
Fax(818) 337-2049
Organization SubpartNo
Authorized OfficialGlen FarkasMedical Director · (818) 610-9360
Enumeration DateAugust 19, 2011
✔ NPI 1528348620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · G56249
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedPsychologistTaxonomy 103T00000X · License PSY22296 (CA)
Also ListedChiropractor · NutritionTaxonomy 111NN1001X · License DC24805 (CA)
Also ListedAcupuncturistTaxonomy 171100000X · License AC8403 (CA)
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA17921 (CA)
7230 MEDICAL CENTER DRIVE, West Hills, CA 91307
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUZEE ANN KERR PHARMACY TECH
Pharmacy Technician
7230 MEDICAL CENTER DRIVE, #106
WEST HILLS, CA 91307
Los Angeles County (818) 346-6550
LISA LYNN TOLISON PHARMACY TECH
Pharmacy Technician
7230 MEDICAL CENTER DRIVE, #106
WEST HILLS, CA 91307
Los Angeles County (818) 346-6550
DR. KENNETH NILES COSMER M.D.
Pediatrics
7230 MEDICAL CENTER DRIVE, 402
WEST HILLS, CA 91307
Los Angeles County (818) 340-3822

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pacific Rejuvenation Medical, A Professional Corp's NPI number?

The NPI number for Pacific Rejuvenation Medical, A Professional Corp is 1528348620. It was assigned to this organization in the NPPES registry on August 19, 2011.

Where is Pacific Rejuvenation Medical, A Professional Corp located?

Pacific Rejuvenation Medical, A Professional Corp is located at 7230 Medical Center Drive Suite 302, West Hills, CA 91307. The listed phone number is (818) 518-5980.

What is Pacific Rejuvenation Medical, A Professional Corp's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Pacific Rejuvenation Medical, A Professional Corp was last updated on August 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.