Allen, Gwen Maria

Allen, Gwen Maria is an sole proprietor health care provider with primary practice located at 1045 W Redondo Beach Blvd #500, Gardena CA 90247-4128. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Allen, Gwen Maria can be contacted via phone (310) 329-9492.

Contact Information

Primary practice address
1045 W Redondo Beach Blvd #500 Gardena CA 90247-4128
Phone: (310) 329-9492
Fax: (310) 329-3799
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X A061790 California

Profile Details

NPI number 1306942909
LBN Legal business name Allen, Gwen Maria
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2006
Last updated Jan 31st, 2008 - about 17 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 1306942909 NPPES
California MEDICAID 00A617900

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