Dr. Gary Igor Pastushenko, M.D.
Anesthesiology, Pain Medicine in Panorama City, CA. Individual provider (NPI-1).
NPI number1760680417
StatusActive
Last updated in NPPESDec 3, 2021
Details
- NPI
- 1760680417
- Entity type
- Individual (NPI-1)
- Name
- Dr. Gary Igor Pastushenko
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 4, 2007
- Last updated
- Dec 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207LP2900X | Anesthesiology, Pain Medicine | A98667 | CA | Yes |
Practice location
13652 Cantara StDepartment Of Pain Management
Panorama City, CA 91402-5423
Phone 818-375-3308
Mailing address
13652 Cantara StDepartment Of Pain Management
Panorama City, CA 91402-5423
Phone 818-375-3308
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