Allen, Edward Clark

Allen, Edward Clark is an sole proprietor health care provider with primary practice located at 2190 Carmel Valley Rd B, Del Mar CA 92014-3772. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Allen, Edward Clark can be contacted via phone (858) 877-9804.

Contact Information

Primary practice address
2190 Carmel Valley Rd B Del Mar CA 92014-3772
Phone: (858) 877-9804
Fax: (858) 724-1820
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X A48040 California
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X A48040 California

Profile Details

NPI number 1881781334
LBN Legal business name Allen, Edward Clark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 2006
Last updated Oct 15th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881781334 NPPES
California MEDICAID 00A480400

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