Provider Demographics
NPI:1447320304
Name:PAKIER, OSCAR (MD)
Entity type:Individual
Prefix:
First Name:OSCAR
Middle Name:
Last Name:PAKIER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18226 VENTURA BLVD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-4236
Mailing Address - Country:US
Mailing Address - Phone:818-774-0939
Mailing Address - Fax:818-766-1694
Practice Address - Street 1:18226 VENTURA BLVD
Practice Address - Street 2:SUITE 210
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-4236
Practice Address - Country:US
Practice Address - Phone:818-774-0939
Practice Address - Fax:818-766-1694
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG271322084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG27132Medicare ID - Type Unspecified
CAA91032Medicare UPIN