PACIFIC REJUVENATION MEDICAL, A PROFESSIONAL CORP.

LOS ANGELES, CA
NPI1023428521
Entity TypeOrganization
Authorized ContactLYNN J. GOODLOE
Medical Director
818-518-5980
Organization Subpart ?Yes
Primary Taxonomy332900000X Non-Pharmacy Dispensing Site
(Licence: CA  G44674)
Enumeration Date2014-05-06
Last Update Date2015-10-05
Business Address
PACIFIC REJUVENATION MEDICAL, A PROFESSIONAL CORP.
6310 SAN VICENTE BLVD SUITE 220
LOS ANGELES, CA 90048-5426
Phone number: 818-518-5980
Mailing Address
PACIFIC REJUVENATION MEDICAL, A PROFESSIONAL CORP.
2980 N BEVERLY GLEN CIR SUITE 100
LOS ANGELES, CA 90077-1726
Phone number: 310-943-4180
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