Provider Demographics
NPI:1043486202
Name:LOKEN, ELIZABETH P (MD)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:P
Last Name:LOKEN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:16055 VENTURA BLVD
Mailing Address - Street 2:SUITE #813
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-2601
Mailing Address - Country:US
Mailing Address - Phone:818-906-8028
Mailing Address - Fax:818-906-8516
Practice Address - Street 1:16055 VENTURA BLVD
Practice Address - Street 2:SUITE #813
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-2601
Practice Address - Country:US
Practice Address - Phone:818-906-8028
Practice Address - Fax:818-906-8516
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-07
Last Update Date:2008-05-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG512752084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG51275Medicare PIN