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:
Health care specialties
| Specialty | Code | License # | 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 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881781334 | NPPES |
| California | MEDICAID | 00A480400 |
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