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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 Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

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

NPI # 1144516295
LBN Legal business name LOUELLA PECKSON, M.D., INC.
Authorized official LOUELLA PECKSON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/27/2011
Last updated 06/27/2011 - About 15 years ago
Identifiers
CA Medicaid A53093
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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