Pacific Rejuvination Medical A Professional Corp
NPI 1700242419ActiveOrganization· Pharmacy, Clinic Pharmacy· Long Beach, CA
Pharmacy, Clinic Pharmacy in Long Beach, California, registered in NPPES in January 2016. The authorized official on file is Glen Farkas, MD, Medical Director.
Overview
| NPI | 1700242419 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 11, 2016 |
| Last updated in NPPES | Jun 1, 2021 |
| Certified by provider | Jun 1, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Clinic Pharmacy Primary | 3336C0002X | — | — |
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 |
|---|
Other Pharmacy, Clinic Pharmacy providers in Long Beach
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