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Individual

DR. GARY IGOR PASTUSHENKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
13652 CANTARA ST, DEPARTMENT OF PAIN MANAGEMENT, PANORAMA CITY, CA 91402-5423
(818) 375-3308
Mailing address
13652 CANTARA ST, DEPARTMENT OF PAIN MANAGEMENT, PANORAMA CITY, CA 91402-5423
(818) 375-3308

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A98667
CA

Other

Enumeration date
07/04/2007
Last updated
12/03/2021
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