Pacific Rejuvenation Medical, A Professional Corp.
NPI 1023428521ActiveOrganization· Non-Pharmacy Dispensing Site· Los Angeles, CA
Non-Pharmacy Dispensing Site in Los Angeles, California, registered in NPPES in May 2014, part of Pacific Rejuvenation Medical, A Professional Corp. The authorized official on file is Lynn J. Goodloe, M.D., Medical Director.
Overview
| NPI | 1023428521 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Pacific Rejuvenation Medical, A Professional Corp. |
| NPI issued | May 6, 2014 |
| Last updated in NPPES | Oct 5, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Non-Pharmacy Dispensing Site Primary | 332900000X | G44674 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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