institution
Pacific Rejuvenation Medical, A Professional Corp.
Non-Pharmacy Dispensing Site in Los Angeles, California
NPI 1023428521

Pacific Rejuvenation Medical, A Professional Corp. is a Non-Pharmacy Dispensing Site based in Los Angeles, CA. Pacific Rejuvenation Medical, A Professional Corp. practices in Los Angeles, CA. The NPI Number for Pacific Rejuvenation Medical, A Professional Corp. is 1023428521 and holds a License No. G44674 (California).

The current practice location address for Pacific Rejuvenation Medical, A Professional Corp. is 6310 San Vicente Blvd, Los Angeles, CA and can be reached out via phone at 818-518-5980 and via fax at 818-337-2049.

Location: 6310 San Vicente Blvd, Los Angeles, CA, 90077-1726
institution
Provider Profile Details
NPI Number
1023428521
Provider Name
Pacific Rejuvenation Medical, A Professional Corp.
Credential
Provider Entity Type
Organization
Address
6310 San Vicente Blvd, Los Angeles, CA, 90077-1726
Phone Number
818-518-5980
Fax Number
818-337-2049
Provider Enumeration Date
05/06/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6310 San Vicente Blvd
City
State
Zip
90048-5426
Phone Number
818-518-5980
Fax Number
818-337-2049
person
Provider Business Mailing Address Details
Address
6310 San Vicente Blvd
City
State
Zip
90048-5426
Phone Number
818-518-5980
Fax Number
818-337-2049
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
License No.
G44674 (California)
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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