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:
Health care specialties
| Specialty | Code | License # | 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 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356453518 | NPPES |
| California | MEDICAID | 0G3908600 |
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