Pasternack, Glenn A

Pasternack, Glenn A is an individual health care provider with primary practice located at 3831 Hughes Ave Suite 602, Culver City CA 90232-2748. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Pasternack, Glenn A can be contacted via phone (310) 558-8063.

Contact Information

Primary practice address
3831 Hughes Ave Suite 602 Culver City CA 90232-2748
Phone: (310) 558-8063
Fax: (310) 204-6556
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G39086 California
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X G39086 California

Profile Details

NPI number 1356453518
LBN Legal business name Pasternack, Glenn A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Dec 8th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356453518 NPPES
California MEDICAID 0G3908600

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