# LUCILLE PACKARD CHILDREN'S HOSPITAL 030962

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

## Provider details

- **NPI number:** 1942342084
- **Authorized official:** MS. KAREN DENISE DAVIS RN, MSN, PNP (PEDIATRIC NURSE PRACTITIONER)
- **Authorized official phone:** (650) 804-0749

## Contact information

- **Practice address:** 780 WELCH RD, 206, PALO ALTO, CA 94304-1516
- **Practice address phone:** (650) 723-6439
- **Mailing address:** 999 EVELYN TER W, \#69, SUNNYVALE, CA 94086-6777
- **Mailing address phone:** (650) 804-0749

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NC2000X | Children's Hospital | 531033 | CA | Yes |

## Other

- **Enumeration date:** 02/13/2007
- **Last updated:** 08/22/2020