| Susan Park Allen Md Inc | |
|
320 Superior Avenue Suite #280 Newport Beach CA 92663 | |
| (949) 645-9100 | |
| (949) 645-9650 |
| Full Name | Susan Park Allen Md Inc |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 320 Superior Avenue, Newport Beach, California |
| Authorized Official Name and Position | Susan Park Allen (PRESIDENT) |
| Authorized Official Contact | 9496459100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Park Allen Md Inc 320 Superior Avenue Suite #280 Newport Beach CA 92663 Ph: (949) 645-9100 | Susan Park Allen Md Inc 320 Superior Avenue Suite #280 Newport Beach CA 92663 Ph: (949) 645-9100 |
| NPI Number | 1508843368 |
|---|---|
| Provider Enumeration Date | 12/22/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508843368 | NPI | - | NPPES |
| 00G614460 | Medicaid | CA | |
| 00G614460 | Other | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
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