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
Specialties & taxonomies
Suppliers
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.
Practice location
701 E 28th St Ste 100
Long Beach, CA 90806-2769
Phone: (562) 269-0300
Street-level locationGet directions
Mailing address
7230 Medical Center Dr Ste 100
West Hills, CA 91307-4001
Additional practice locations (2)
- 7230 Medical Center Dr Ste 100West Hills, CA 91307-4001Phone: (818) 518-5980
- 7230 Medical Center DrSuite 302West Hills, CA 91307-1907Phone: (818) 518-5980
Registry dates
- 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.