Pacific Rejuvenation Medical, a Professional Corp.
NPI 1023428521 · Non-Pharmacy Dispensing Site · Los Angeles, CA
Pacific Rejuvenation Medical, a Professional Corp. is a Non-Pharmacy Dispensing Site organization in Los Angeles, CA (NPI 1023428521).
Provider details
- NPI number
- 1023428521
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Pacific Rejuvenation Medical, a Professional Corp.
- Organization subpart
- Yes
- Authorized official
- Lynn Goodloe, Medical Director(818) 518-5980
- License
- G44674 (CA)
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-05-06
- Last updated
- 2015-10-05
Frequently asked questions
- What is Pacific Rejuvenation Medical, a Professional Corp.'s NPI number?
- Pacific Rejuvenation Medical, a Professional Corp.'s National Provider Identifier (NPI) is 1023428521, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pacific Rejuvenation Medical, a Professional Corp.?
- Pacific Rejuvenation Medical, a Professional Corp. is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Pacific Rejuvenation Medical, a Professional Corp. located?
- Pacific Rejuvenation Medical, a Professional Corp.'s practice location on file with NPPES is 6310 San Vicente Blvd, Los Angeles, CA 90048-5426.
- What is Pacific Rejuvenation Medical, a Professional Corp.'s phone number?
- The practice phone number listed in the NPPES registry for Pacific Rejuvenation Medical, a Professional Corp. is (818) 518-5980.
- Who is the authorized official for Pacific Rejuvenation Medical, a Professional Corp.?
- The authorized official listed on Pacific Rejuvenation Medical, a Professional Corp.'s NPPES record is Lynn Goodloe, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pacific Rejuvenation Medical, a Professional Corp.'s NPI active?
- Yes — Pacific Rejuvenation Medical, a Professional Corp.'s NPI (1023428521) is active in the NPPES registry as of the last update on 2015-10-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.