Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pacific Rejuvenation Medical, a Professional Corp

Organization Psychologist · NPI 1528348620

Pacific Rejuvenation Medical, a Professional Corp is a Psychologist in West Hills, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011
Specialties on file
5
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7230 Medical Center Dr Ste 302
West Hills, CA 91307
Phone: (818) 518-5980
Fax: (818) 337-2049
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence G56249 (CA)
Psychologist Taxonomy 103T00000X · Licence PSY22296 (CA)
Nutrition Chiropractor Taxonomy 111NN1001X · Licence DC24805 (CA)
Acupuncturist Taxonomy 171100000X · Licence AC8403 (CA)
Physician Assistant Taxonomy 363A00000X · Licence PA17921 (CA)

Record details

NPI number1528348620
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Glen Farkas — Medical Director · (818) 610-9360
NPI enumeratedAugust 19, 2011
Last updated in NPPESAugust 19, 2011
Mailing address7230 Medical Center Drive, Suite 302, West Hills, CA 91307

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