OrganizationLucile Packard Childrens Hospital(Lpch Medical Group)PediatricsAllopathic & Osteopathic PhysiciansPractice Address725 Welch Rd, Palo Alto, CA 94304-1601(650) 498-7103PECOS EnrollmentBased on the most recent information from CMS, provider Lucile Packard Childrens Hospital does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1134170574Provider TypeOrganizationFull NameLucile Packard Childrens HospitalOther NameLpch Medical GroupSubpartNoEnumeration Date5/12/2006Last Updated8/22/2020Contact InformationPractice LocationPractice Address725 Welch Rd, Palo Alto, CA 94304-1601Phone(650) 498-7103FaxUnlisted FaxMailing LocationMailing Address2680 Hanover St, Palo Alto, CA 94304-1117PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameEsson, Simone (Acting Director)Phone(650) 498-7103Provider TaxonomiesCodeDescriptionLicenseCode208000000XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer