Allen, Susan Park
Allen, Susan Park is an sole proprietor health care provider with primary practice located at 320 Superior Avenue Suite 290, Newport Beach CA 92663. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Allen, Susan Park can be contacted via phone (949) 645-9100.Contact Information
Primary practice address
320 Superior Avenue Suite 290
Newport Beach CA 92663
Phone: (949) 645-9100
Fax: (949) 809-9640
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | G061446 | California |
Profile Details
NPI number | 1841276805 |
---|---|
LBN Legal business name | Allen, Susan Park |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 21st, 2005 |
Last updated | Jul 7th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1841276805 | NPPES |
Other | 00G614460 | BLUE SHIELD | |
Other | 00G61440 | BLUE SHIELD |
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