| E. Clark Allen, M.d. Professional Corporation | |
|
2424 Carmel Valley Rd Del Mar CA 92014-3802 | |
| (858) 792-7241 | |
| (858) 534-6922 |
| Full Name | E. Clark Allen, M.d. Professional Corporation |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2424 Carmel Valley Rd, Del Mar, California |
| Authorized Official Name and Position | Edward Clark Allen (PRESIDENT) |
| Authorized Official Contact | 8587927241 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| E. Clark Allen, M.d. Professional Corporation 2424 Carmel Valley Rd Del Mar CA 92014-3802 Ph: (858) 792-7241 | E. Clark Allen, M.d. Professional Corporation 2424 Carmel Valley Rd Del Mar CA 92014-3802 Ph: (858) 792-7241 |
| NPI Number | 1316193493 |
|---|---|
| Provider Enumeration Date | 08/08/2008 |
| Last Update Date | 08/08/2008 |
| Medicare PECOS PAC ID | 1355402314 |
|---|---|
| Medicare Enrollment ID | O20081209000442 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316193493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A48040 (California) | Primary |
| Provider Name | Edward Clark Allen |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1881781334 PECOS PAC ID: 5890874333 Enrollment ID: I20080508000364 |
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