Healthcare Provider Details

I. General information

NPI: 1164348009
Provider Name (Legal Business Name): CLARITY SURGICAL GROUP, A PROFESSIONAL MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

375 ROLLING OAKS DR STE 115
THOUSAND OAKS CA
91361-1000
US

IV. Provider business mailing address

1534 N MOORPARK RD # 346
THOUSAND OAKS CA
91360-5129
US

V. Phone/Fax

Practice location:
  • Phone: 909-224-9848
  • Fax:
Mailing address:
  • Phone: 909-224-9848
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ANDREA PAKULA
Title or Position: MD/CEO
Credential: MD
Phone: 909-224-9848