MEDICARE: LAURA J PASTERNACK MD INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LP2900X	Pain Medicine (Anesthesiology) Physician

General Provider Information

NPI Number	:	1942140470
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAURA J PASTERNACK MD INC

Provider Business Mailing Address
First Line	:	10941 CORONEL RD
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92705-2447
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1120 NEWBURY RD STE 100
Second Line	:
City	:	THOUSAND OAKS
State	:	CA
Zip	:	91320-3636
Country	:	US
Telephone Number	:	805-230-3100
Fax Number	:

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

Provider Enumeration Date	:	04/01/2026
Last Update Date	:	06/04/2026

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