| Lucile Packard Childrens Hospital | |
|
725 Welch Rd Palo Alto CA 94304-1601 | |
| (650) 498-7103 | |
| Not Available |
| Full Name | Lucile Packard Childrens Hospital |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 725 Welch Rd, Palo Alto, California |
| Authorized Official Name and Position | Simone Esson (ACTING DIRECTOR) |
| Authorized Official Contact | 6504987103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lucile Packard Childrens Hospital 2680 Hanover St Palo Alto CA 94304-1117 Ph: () - | Lucile Packard Childrens Hospital 725 Welch Rd Palo Alto CA 94304-1601 Ph: (650) 498-7103 |
| NPI Number | 1932212784 |
|---|---|
| Provider Enumeration Date | 08/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932212784 | NPI | - | NPPES |
| GR004836C | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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