National Provider Identifier Database

LOUELLA PECKSON MD INC
Adolescent Medicine

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.


Contact Information

LOUELLA PECKSON, M.D., INC.
14624 SHERMAN WAY
SUITE 401
VAN NUYS, CA91405-2241
Phone: 818-786-1200
Fax: 818-786-1201
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for LOUELLA PECKSON, M.D., INC.

NPI Number 1144516295
Legal business name
LBN
LOUELLA PECKSON, M.D., INC.
Authorized official LOUELLA PECKSON - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 06/27/2011
Last updated 06/27/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • CA Medicaid: A53093

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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