Provider Demographics
NPI:1275757551
Name:PASTER, DAVID JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:JOSEPH
Last Name:PASTER
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:16311 VENTURA BLVD
Mailing Address - Street 2:STE. 1288
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-2124
Mailing Address - Country:US
Mailing Address - Phone:818-995-8900
Mailing Address - Fax:818-995-6777
Practice Address - Street 1:16311 VENTURA BLVD
Practice Address - Street 2:STE. 1288
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-2124
Practice Address - Country:US
Practice Address - Phone:818-995-8900
Practice Address - Fax:818-995-6777
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAC334612084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA87651Medicare UPIN