1. Home
  2. Directory
  3. California
  4. Long Beach
  5. Pharmacy
  6. NPI Profile

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: October 18, 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
Phone(562) 269-0300
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
Open in Google Maps ↗

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

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.

BEVERLY HILLS WELLNESS PHYSICIANS CORP
Allergy & Immunology (Allergy)
701 E 28TH ST STE 100
LONG BEACH, CA 90806
Los Angeles County (562) 426-2551
ADVANCED COMMUNITY MEDICAL CARE CORP
Non-Pharmacy Dispensing Site
701 E 28TH ST STE 100
LONG BEACH, CA 90806
Los Angeles County (562) 269-0300
BEVERLY HILLS WELLNESS PHYSICIANS CORP
Pharmacy (Clinic Pharmacy)
701 E 28TH ST STE 100
LONG BEACH, CA 90806
Los Angeles County (562) 426-2551
INTEGRATIVE PODIATRY INC
Podiatrist
701 E 28TH ST STE 100
LONG BEACH, CA 90806
Los Angeles County (562) 426-2551
K WELLNESS MEDICAL CENTER CORPORATION
Clinic/Center (Multi-Specialty)
701 E 28TH ST STE 100
LONG BEACH, CA 90806
Los Angeles County (562) 269-0300
K WELLNESS MEDICAL CENTER CORPORATION
Non-Pharmacy Dispensing Site
701 E 28TH ST STE 100
LONG BEACH, CA 90806
Los Angeles County (562) 269-0300
REGEN PODIATRY INC
Podiatrist
701 E 28TH ST STE 100
LONG BEACH, CA 90806
Los Angeles County (562) 426-2551

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.

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.