Individual
DR. BRADLEY PAKULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6815 NOBLE AVE, STE.#400, VAN NUYS, CA 91405-3796
(818) 888-7815
Mailing address
PO BOX 7001, TARZANA, CA 91357-7001
(818) 888-7815
(818) 715-1722
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G61674
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G616740
—
CA
Enumeration date
08/16/2006
Last updated
05/19/2010
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