Organization
LUCILE PACKARD CHILDRENS HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMONE ESSON (ACTING DIRECTOR)
(650) 498-7103
Entity
Organization
Contact information
Practice address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Mailing address
2690 HANOVER ST, PALO ALTO, CA 94304-1117
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
—
—
Other
Enumeration date
08/16/2006
Last updated
05/20/2008
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