Healthcare Provider Details

I. General information

NPI: 1942140470
Provider Name (Legal Business Name): LAURA J. PASTERNACK, MD, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 NEWBURY RD STE 100
THOUSAND OAKS CA
91320-3636
US

IV. Provider business mailing address

10941 CORONEL RD
SANTA ANA CA
92705-2447
US

V. Phone/Fax

Practice location:
  • Phone: 805-230-3100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. LAURA JONELLE PASTERNACK
Title or Position: PHYSICIAN AND OWNER
Credential: MD, MSC
Phone: 949-371-5044