Provider Demographics
NPI:1821316696
Name:AUBERT, PAMELA MARY JANE (MD)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:MARY JANE
Last Name:AUBERT
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:13652 CANTARA ST
Mailing Address - Street 2:MEDICAL OFFICES 6, AREA 291
Mailing Address - City:PANORAMA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91402-5423
Mailing Address - Country:US
Mailing Address - Phone:818-375-3594
Mailing Address - Fax:
Practice Address - Street 1:13652 CANTARA ST
Practice Address - Street 2:MEDICAL OFFICES 6, AREA 291
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402-5423
Practice Address - Country:US
Practice Address - Phone:818-375-3594
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-04
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA135927207ND0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathology