Dr. Elizabeth Loudon Profita

M.D. | Pediatric Cardiology | Female

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Complete Profile:

Dr. Elizabeth Loudon Profita basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics, Pediatric Cardiology
Provider Name :	Dr. Elizabeth Loudon Profita
Other Name :	Elizabeth Loudon Williams
Credential :	M.D.
Gender :	Female

Business Address:

Dr. Elizabeth Loudon Profita address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	725 Welch Rd Palo Alto, CA, 94304-1601 United States
Phone Number :	650-497-8000

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1245539964
NPI Entity Type :	Individual
First Enrolment Date :	21 Mar, 2011
Last Updated On :	09 Dec, 2022

Medicare Participation:

Dr. Elizabeth Loudon Profita participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	3577786698
Medicare Enrollment ID :	I20181009002921
Primary Specialty :	Pediatric Medicine
Medical School :	University Of Washington School Of Medicine
Graduation Year :	2011
Accepts Medicare?	Yes. Dr. Elizabeth Loudon Profita accepts medicare insurance.

Group Practice Association:

Dr. Elizabeth Loudon Profita is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Elizabeth Loudon Profita is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Lpch Medical Group Div Of Lucile	0840298543	226	725 Welch Rd Palo Alto, CA - 943041601 Ph: 6504987200	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Elizabeth Loudon Profita are as mentioned. Primary taxonomy code for Dr. Elizabeth Loudon Profita, M.D. is 2080P0202X (Pediatrics, Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	A158015	CA
2080P0202X	Pediatrics, Pediatric Cardiology	Yes	A158015	CA

Other Practice Locations:

Practice Address	City, State	Phone Number
750 WELCH RD STE 325, PALO ALTO, CA, 94304 United States	PALO ALTO, CA	650-723-7914

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	725 Welch Rd Palo Alto, CA, 94304-1601 United States
Phone Number :	650-497-8000

Business Location:

Patients can refer following map for directions to Dr. Elizabeth Loudon Profita practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.