| Ryan L Allen Do Inc | |
|
2342 Professional Pkwy Suite 260 Santa Maria CA 93455-1629 | |
| (805) 348-3910 | |
| (805) 348-3901 |
| Full Name | Ryan L Allen Do Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2342 Professional Pkwy, Santa Maria, California |
| Authorized Official Name and Position | Ryan L Allen (OWNER) |
| Authorized Official Contact | 8053483910 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan L Allen Do Inc 2342 Professional Pkwy Suite 260 Santa Maria CA 93455-1629 Ph: (805) 348-3910 | Ryan L Allen Do Inc 2342 Professional Pkwy Suite 260 Santa Maria CA 93455-1629 Ph: (805) 348-3910 |
| NPI Number | 1093859621 |
|---|---|
| Provider Enumeration Date | 02/16/2007 |
| Last Update Date | 02/07/2014 |
| Medicare PECOS PAC ID | 9436249844 |
|---|---|
| Medicare Enrollment ID | O20071220000719 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093859621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A6685 (California) | Primary |
| Provider Name | Ryan L Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265417752 PECOS PAC ID: 0143278150 Enrollment ID: I20070219000821 |
Santa Barbara County Public Health Department-good Samaritan Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 401 W Morrison Ave, Santa Maria, CA 93458 Phone: 805-347-3338 | |
Med Plus Central Coast Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2271 S Depot St, Santa Maria, CA 93455 Phone: 805-922-0561 Fax: 805-922-0083 | |
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