Provider Demographics
NPI:1568419133
Name:PIETRUSZKA, FERN MULTZ (PA-C, MPH)
Entity Type:Individual
Prefix:MRS
First Name:FERN
Middle Name:MULTZ
Last Name:PIETRUSZKA
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Gender:F
Credentials:PA-C, MPH
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Mailing Address - Street 1:5086 AVENIDA HACIENDA
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-4223
Mailing Address - Country:US
Mailing Address - Phone:818-891-1771
Mailing Address - Fax:818-895-9469
Practice Address - Street 1:16111 PLUMMER ST
Practice Address - Street 2:BUILDING 99, CARE PROGRAM, G-63
Practice Address - City:NORTH HILLS
Practice Address - State:CA
Practice Address - Zip Code:91343-2036
Practice Address - Country:US
Practice Address - Phone:818-891-7711
Practice Address - Fax:818-895-9469
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-28
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CA10821363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical