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General NPI Number Information
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NPI Number | 1447313770
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Entity Type | Organization
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Legal Business Name | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 03/19/2008
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Provider Practice Location Address
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Address Line | 725 WELCH RD MAIL CODE 5500
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City | PALO ALTO
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State | CA
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Zip | 94304-1601
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Country | US
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Telephone | 650-497-8357
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Fax | 650-493-2491
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Provider Business Mailing Address
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Address Line | 725 WELCH RD MAIL CODE 5500
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City | PALO ALTO
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State | CA
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Zip | 94304-1601
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Country | US
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Telephone | 650-497-8357
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Fax | 650-493-2491
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | TIM CARMACK
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Credential |
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Telephone | 650-736-0031
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0700X
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Taxonomy Name | End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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License Number |
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License Number State |
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