What type of organization is Pacific Rejuvination Medical a Professional Corp?

Pacific Rejuvination Medical a Professional Corp is classified in the NPPES registry as Clinic Pharmacy (Suppliers).

What is Pacific Rejuvination Medical a Professional Corp's phone number?

The practice phone number listed in the NPPES registry for Pacific Rejuvination Medical a Professional Corp is (562) 269-0300.

Who is the authorized official for Pacific Rejuvination Medical a Professional Corp?

The authorized official listed on Pacific Rejuvination Medical a Professional Corp's NPPES record is Glen Farkas, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Pacific Rejuvination Medical a Professional Corp's NPI active?

Yes — Pacific Rejuvination Medical a Professional Corp's NPI (1700242419) is active in the NPPES registry as of the last update on 2021-06-01.

OrganizationActive

Pacific Rejuvination Medical a Professional Corp

NPI 1700242419 · Clinic Pharmacy · Long Beach, CA

Pacific Rejuvination Medical a Professional Corp is a Clinic Pharmacy organization in Long Beach, CA (NPI 1700242419).

Provider details

NPI number: 1700242419
Entity type: Organization
Primary specialty: Clinic PharmacySuppliers
Organization subpart: No
Authorized official: Glen Farkas, Medical Director(818) 518-5980

Practice location

701 E 28th St Ste 100

Long Beach, CA 90806-2769

Phone: (562) 269-0300

Street-level locationGet directions

More CA providers

Mailing address

7230 Medical Center Dr Ste 100

West Hills, CA 91307-4001

Specialties & taxonomies

Clinic PharmacyPrimary3336C0002X
Suppliers

Additional practice locations (2)

7230 Medical Center Dr Ste 100
West Hills, CA 91307-4001
Phone: (818) 518-5980
7230 Medical Center Dr
Suite 302
West Hills, CA 91307-1907
Phone: (818) 518-5980

Profile Score

Detailed profile(82/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
10 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
3 documented practice locations

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.

Enumerated: 2016-01-11
Last updated: 2021-06-01
Certified: 2021-06-01

Frequently asked questions

What is Pacific Rejuvination Medical a Professional Corp's NPI number?: Pacific Rejuvination Medical a Professional Corp's National Provider Identifier (NPI) is 1700242419, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Pacific Rejuvination Medical a Professional Corp?: Pacific Rejuvination Medical a Professional Corp is classified in the NPPES registry as Clinic Pharmacy (Suppliers).
Where is Pacific Rejuvination Medical a Professional Corp located?: Pacific Rejuvination Medical a Professional Corp's practice location on file with NPPES is 701 E 28th St Ste 100, Long Beach, CA 90806-2769.
What is Pacific Rejuvination Medical a Professional Corp's phone number?: The practice phone number listed in the NPPES registry for Pacific Rejuvination Medical a Professional Corp is (562) 269-0300.
Who is the authorized official for Pacific Rejuvination Medical a Professional Corp?: The authorized official listed on Pacific Rejuvination Medical a Professional Corp's NPPES record is Glen Farkas, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Pacific Rejuvination Medical a Professional Corp's NPI active?: Yes — Pacific Rejuvination Medical a Professional Corp's NPI (1700242419) is active in the NPPES registry as of the last update on 2021-06-01.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Additional practice locations (2)

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Additional practice locations (2)

Profile Score

Frequently asked questions