Provider Demographics
NPI:1467656157
Name:GLENN A. PASTERNACK, M.D. & TAMAR F. SINGER, M.D., INC.
Entity Type:Organization
Organization Name:GLENN A. PASTERNACK, M.D. & TAMAR F. SINGER, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INCORPORATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TAMAR
Authorized Official - Middle Name:F
Authorized Official - Last Name:SINGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-792-3914
Mailing Address - Street 1:PO BOX 3645
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90510-3645
Mailing Address - Country:US
Mailing Address - Phone:310-792-3914
Mailing Address - Fax:310-792-3621
Practice Address - Street 1:371 VAN NESS WAY
Practice Address - Street 2:STE 210
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90501-6297
Practice Address - Country:US
Practice Address - Phone:310-792-3914
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-14
Last Update Date:2014-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA92236207L00000X
CAA920462086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA92236Medicare UPIN
CAA92046Medicare UPIN
CAG39086Medicare PIN