Petrik, Pavel Vaclav

Petrik, Pavel Vaclav is an individual health care provider with primary practice located at 44725 10Th St W Ste 120 , Lancaster CA 93534-3051. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is his primary health care specialty. Petrik, Pavel Vaclav can be contacted via phone (661) 522-3256.

Contact Information

Primary practice address
44725 10Th St W Ste 120 Lancaster CA 93534-3051
Phone: (661) 522-3256
Fax: (661) 948-2006
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X G74861 California
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X G74861 California

Profile Details

NPI number 1417044868
LBN Legal business name Petrik, Pavel Vaclav
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Dec 9th, 2021 - about 5 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 1417044868 NPPES
California MEDICAID GR0091800

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