Organization
ANDREA M PAKULA, MD APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA M PAKULA MD (PRESIDENT / CEO)
(909) 224-9848
Entity
Organization
Contact information
Practice address
77 ROLLING OAKS DR STE 203, THOUSAND OAKS, CA 91361-1019
(909) 224-9848
(805) 379-9695
Mailing address
77 ROLLING OAKS DR STE 203, THOUSAND OAKS, CA 91361-1019
(909) 224-9848
(805) 379-9695
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568767960
INDIVIDUAL NPI
CA
Enumeration date
10/16/2020
Last updated
10/16/2020
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