Louella Peckson, M.d., Inc.
Pediatric Adolescent Medicine
Louella Peckson, M.d., Inc. is a Van Nuys, California based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
14624 Sherman Way, Suite 401, Van Nuys, California - 91405-2241. They can be contacted on phone at
818-786-1200 and fax number 818-786-1201.
NPI number (Unique professional ID) for Louella Peckson, M.d., Inc. is
1144516295 which was assigned by NPPES on 27 Jun, 2011 and it was last updated on 27 Jun, 2011.
Louella Peckson, M.d., Inc. 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.
Complete Profile:
Louella Peckson, M.d., Inc. basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Louella Peckson, M.d., Inc. |
|---|
Business Address:
Louella Peckson, M.d., Inc. 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 : | 14624 Sherman Way, Suite 401
Van Nuys, CA, 91405-2241
United States |
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| Phone Number : | 818-786-1200 |
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| Fax Number : | 818-786-1201 |
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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 : | 1144516295 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 27 Jun, 2011 |
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| Last Updated On : | 27 Jun, 2011 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Louellal Peckson |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | PRESIDENT |
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| Phone Number : | 818-786-1200 |
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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 Louella Peckson, M.d., Inc. are as mentioned. Primary taxonomy code for Louella Peckson, M.d., Inc. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Louella Peckson, M.d., Inc. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| A53093 | MEDICAID | CA | |
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 : | 14624 Sherman Way, Suite 401
Van Nuys, CA, 91405-2241
United States |
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| Phone Number : | 818-786-1200 |
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| Fax Number : | 818-786-1201 |
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Business Location:
Patients can refer following map for directions to
Louella Peckson, M.d., Inc. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.