# ELAINE L PICO, M.D.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922272525
- **Authorized official:** ELAINE L PICO M.D. (OWNER)
- **Authorized official phone:** (510) 558-8074

## Contact information

- **Practice address:** 2825 INTERNATIONAL BLVD, ROOM RC121, OAKLAND, CA 94601-1543
- **Practice address phone:** (510) 558-8074
- **Mailing address:** PO BOX 20059, OAKLAND, CA 94620-0059
- **Mailing address phone:** (510) 558-8074

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P0010X | Pediatric Rehabilitation Medicine Physician | G83371 | CA | Yes |

## Other

- **Enumeration date:** 04/15/2008
- **Last updated:** 04/15/2008