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Contact Information

ELAINE L PICO, MD
3031 TELEGRAPH AVE STE 241
BERKELEY, CA94705-2053
 Phone: 510-558-8074
 Fax: 510-923-0378
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Rehabilitation Medicine

2081P0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for ELAINE L PICO · (Female)

NPI Number 1528080462
Status Active
Credentials MD
Entity Individual
Enumeration date 07/23/2006
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # G83371
  • CA Other 00G833710 MEDI-CAL/MEDICAID NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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