Provider Demographics
NPI:1932271582
Name:PECK, ALISON CAROL (MD)
Entity Type:Individual
Prefix:DR
First Name:ALISON
Middle Name:CAROL
Last Name:PECK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ALISON
Other - Middle Name:CAROL
Other - Last Name:SILVERBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:16030 VENTURA BLVD STE 404
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-2754
Mailing Address - Country:US
Mailing Address - Phone:818-728-4600
Mailing Address - Fax:818-728-4616
Practice Address - Street 1:16030 VENTURA BLVD STE 404
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-2754
Practice Address - Country:US
Practice Address - Phone:818-728-4600
Practice Address - Fax:818-728-4616
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA75976207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology