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Pacific Rejuvination Medical A Professional Corp

Clinic Pharmacy in Long Beach, CA · enumerated 2016 · authorized official Glen Farkas, Medical Director.

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

National Provider Identifier

1700242419

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Registry record

Entity type Organization (Type 2)
Legal business name Pacific Rejuvination Medical A Professional Corp
Practice address 701 E 28th St Ste 100, Long Beach, CA, 90806
Phone (562) 269-0300
Enumeration date Jan 11, 2016
Last updated in NPPES Jun 1, 2021

Taxonomy & classification

3336C0002X Clinic Pharmacy Suppliers Primary

Authorized official

Name Glen Farkas
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.

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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 2021-06-01. Verify at npiregistry.cms.hhs.gov.
Where is Pacific Rejuvination Medical A Professional Corp located?
The practice location on file with NPPES is in Long Beach, CA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-06-01.