Provider Demographics
NPI:1659374650
Name:PASTERNAK, JAMES A (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:A
Last Name:PASTERNAK
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21000 DEVONSHIRE ST
Mailing Address - Street 2:STE 209
Mailing Address - City:CHATSWORTH
Mailing Address - State:CA
Mailing Address - Zip Code:91311-8227
Mailing Address - Country:US
Mailing Address - Phone:818-998-1851
Mailing Address - Fax:818-998-1878
Practice Address - Street 1:21000 DEVONSHIRE ST
Practice Address - Street 2:STE 209
Practice Address - City:CHATSWORTH
Practice Address - State:CA
Practice Address - Zip Code:91311-8227
Practice Address - Country:US
Practice Address - Phone:818-998-1851
Practice Address - Fax:818-998-1878
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2007-12-31
Deactivation Date:2006-03-16
Deactivation Code:
Reactivation Date:2006-03-31
Provider Licenses
StateLicense IDTaxonomies
CA265051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice