Louella Peckson, M.D., Inc.

LBN: Louella Peckson, M.D., Inc.
Louella Peckson, M.D., Inc. is an health care organization with primary practice located at 14624 Sherman Way Suite 401, Van Nuys CA 91405-2241. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty. Louella Peckson, M.D., Inc. can be contacted via phone (818) 786-1200, or through Peckson, Louella L via phone (818) 786-1200.

Contact Information

Primary practice address
14624 Sherman Way Suite 401 Van Nuys CA 91405-2241
Phone: (818) 786-1200
Fax: (818) 786-1201
Website:
Map and Directions
Authorized official contact:
Name: Peckson, Louella L Doctor of Medicine (MD)
Phone: (818) 786-1200

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X

Profile Details

NPI number 1144516295
LBN Legal business name Louella Peckson, M.D., Inc.
DBA Doing business as
Authorized official Peckson, Louella L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2011
Last updated Jun 27th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144516295 NPPES
California MEDICAID A53093

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