NPI Profile for PACIFIC REJUVENATION MEDICAL A PROFESSIONAL CORP in WEST HILLS, CA.
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Acupuncturist |
171100000X | |||
Chiropractor - Nutrition |
111NN1001X | 35 | Chiropractic | |
Physician Assistant |
363A00000X | 97 | Physician Assistant | |
Psychologist |
103T00000X | 62 | Psychologist, Clinical |
| NPI Number | 1528348620 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 08/19/2011 | |
| Last updated | 08/19/2011 - About 15 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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PACIFIC REJUVENATION MEDICAL, A PROFESSIONAL CORP
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