Susan Park Allen Md Inc

LBN: Susan Park Allen Md Inc
Susan Park Allen Md Inc is an health care organization with primary practice located at 320 Superior Avenue Suite #280, Newport Beach CA 92663. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as the primary health care specialty. Susan Park Allen Md Inc can be contacted via phone (949) 645-9100, or through Allen, Susan Park via phone (949) 645-9100.

Contact Information

Primary practice address
320 Superior Avenue Suite #280 Newport Beach CA 92663
Phone: (949) 645-9100
Fax: (949) 645-9650
Website:
Map and Directions
Authorized official contact:
Name: Allen, Susan Park Doctor of Medicine (MD)
Phone: (949) 645-9100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X

Profile Details

NPI number 1508843368
LBN Legal business name Susan Park Allen Md Inc
DBA Doing business as
Authorized official Allen, Susan Park Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2005
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508843368 NPPES
California MEDICAID 00G614460
California Other 00G614460

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