Pakula, Anita Susan

Pakula, Anita Susan is an individual health care provider with primary practice located at 1250 La Venta Dr 105, Westlake Village CA 91361-3702. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Pakula, Anita Susan can be contacted via phone (805) 494-6920.

Contact Information

Primary practice address
1250 La Venta Dr 105 Westlake Village CA 91361-3702
Phone: (805) 494-6920
Fax: (805) 494-6922
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X G71177 California

Profile Details

NPI number 1205869625
LBN Legal business name Pakula, Anita Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2006
Last updated May 21st, 2013 - about 12 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 1205869625 NPPES
California Other 1205869625 CCS PANELED PROVIDER
California MEDICAID 1205869625 CCS PANELED PROVIDER

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