PACIFIC REJUVINATION MEDICAL A PROFESSIONAL CORP
NPI 1700242419
Pharmacy - Clinic Pharmacy in Long Beach, CA

Active since January 11, 2016
701 E 28TH ST STE 100, LONG BEACH, CA 90806(562) 269-0300 Get Directions Write a Review

NPPES record last updated: June 1, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jun 1, 2021, Sep 5, 2019, Jan 11, 2016 (3 updates tracked since 2016).

About Pacific Rejuvination Medical A Professional Corp NPPES

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

PACIFIC REJUVINATION MEDICAL A PROFESSIONAL CORP (NPI 1700242419) is a healthcare organization registered as a clinic pharmacy in Long Beach, California and active in the NPI registry since January 2016. The organization maintains 2 additional practice locations and lists Glen Farkas, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1700242419
Entity TypeOrganization
Primary Taxonomy3336C0002X
Legal Business NamePACIFIC REJUVINATION MEDICAL A PROFESSIONAL CORP
Location Address701 E 28TH ST STE 100Long Beach, CA 90806-2769
Mailing Address7230 Medical Center Dr Ste 100West Hills, CA 91307-4001 · (818) 518-5980
Organization SubpartNo
Authorized OfficialGlen FarkasMedical Director · (818) 518-5980
Enumeration DateJanuary 11, 2016
Last NPPES UpdateJune 1, 20213 updates tracked since enumeration
NPPES CertifiedJune 1, 2021
NPI 1700242419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Clinic PharmacySuppliers
Taxonomy Code3336C0002X
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
701 E 28TH ST STE 100, Long Beach, CA 90806

Secondary Practice Locations 2

Location 17230 Medical Center Dr, Suite 302West Hills, CA 91307-1907 · Phone (818) 518-5980
Location 27230 Medical Center Dr Ste 100West Hills, CA 91307-4001 · Phone (818) 518-5980

Accepted Insurance

Other Providers at the Same Location NPPES 7

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

Allergy & Immunology (Allergy)
701 E 28TH ST STE 100
LONG BEACH, CA 90806
Non-Pharmacy Dispensing Site
701 E 28TH ST STE 100
LONG BEACH, CA 90806
Pharmacy (Clinic Pharmacy)
701 E 28TH ST STE 100
LONG BEACH, CA 90806
Podiatrist
701 E 28TH ST STE 100
LONG BEACH, CA 90806
Clinic/Center (Multi-Specialty)
701 E 28TH ST STE 100
LONG BEACH, CA 90806
Non-Pharmacy Dispensing Site
701 E 28TH ST STE 100
LONG BEACH, CA 90806
Podiatrist
701 E 28TH ST STE 100
LONG BEACH, CA 90806

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 Rejuvination Medical A Professional Corp's NPI number?

The NPI number for Pacific Rejuvination Medical A Professional Corp is 1700242419. It was assigned to this organization in the NPPES registry on January 11, 2016.

Where is Pacific Rejuvination Medical A Professional Corp located?

Pacific Rejuvination Medical A Professional Corp is located at 701 E 28th St Ste 100, Long Beach, CA 90806. The listed phone number is (562) 269-0300.

What is Pacific Rejuvination Medical A Professional Corp's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

What insurance does Pacific Rejuvination Medical A Professional Corp accept?

Health plans from Medica list Pacific Rejuvination Medical A Professional Corp as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pacific Rejuvination Medical A Professional Corp was last updated on June 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.