Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Pacific Rejuvenation Medical, A Professional Corp.

Non-Pharmacy Dispensing Site in Los Angeles, CA · enumerated 2014 · authorized official Lynn Goodloe, Medical Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1023428521

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Registry record

Entity type Organization (Type 2)

Legal business name Pacific Rejuvenation Medical, A Professional Corp.

Parent organization Pacific Rejuvenation Medical, A Professional Corp.

Practice address 6310 San Vicente Blvd, Suite 220, Los Angeles, CA, 90048

Phone (818) 518-5980

Fax (818) 337-2049

Enumeration date May 6, 2014

Last updated in NPPES Oct 5, 2015

Taxonomy & classification

332900000X Non-Pharmacy Dispensing Site Suppliers · License G44674 (CA) Primary

Authorized official

Name Lynn Goodloe

Title Medical Director

Phone (818) 518-5980

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-10-05. Verify at npiregistry.cms.hhs.gov.

Where is Pacific Rejuvenation Medical, A Professional Corp. located?

The practice location on file with NPPES is in Los Angeles, CA.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-10-05.