Peckson, Louella
Peckson, Louella is an sole proprietor health care provider with primary practice located at 14624 Sherman Way Suite 401, Van Nuys CA 91405-2241. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Peckson, Louella can be contacted 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:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A53093 | California |
Profile Details
| NPI number | 1467540021 |
|---|---|
| LBN Legal business name | Peckson, Louella |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Jul 21st, 2009 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467540021 | NPPES |
| California | MEDICAID | 00A530930 |
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