A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | General Practice | 208D00000X |
| Acupuncturist | 171100000X | |
| Chiropractor - Nutrition | 111NN1001X | |
| Physician Assistant | 363A00000X | |
| Psychologist | 103T00000X |
* Indicates primary specialty
| NPI Number | 1528348620 |
| Legal business name LBN |
PACIFIC REJUVENATION MEDICAL, A PROFESSIONAL CORP |
| Authorized official | GLEN FARKAS - (MEDICAL DIRECTOR) |
| Entity | Organization |
| Organization subpart | No |
| Enumeration date | 08/19/2011 |
| Last updated | 08/19/2011 - About 15 years ago |
| Sole proprietor1 | Not specified |
| Identifiers |
|
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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