Healthcare Provider Details

I. General information

NPI: 1467656157
Provider Name (Legal Business Name): GLENN A. PASTERNACK, M.D. & TAMAR F. SINGER, M.D., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2007
Last Update Date: 03/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

371 VAN NESS WAY STE 210
TORRANCE CA
90501-6297
US

IV. Provider business mailing address

PO BOX 3645
TORRANCE CA
90510-3645
US

V. Phone/Fax

Practice location:
  • Phone: 310-792-3914
  • Fax:
Mailing address:
  • Phone: 310-792-3914
  • Fax: 310-792-3621

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberA92236
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberA92046
License Number StateCA

VIII. Authorized Official

Name: DR. TAMAR F SINGER
Title or Position: INCORPORATOR
Credential: M.D.
Phone: 310-792-3914