| Partnership Of Joseph E Allen Md & Russell B Hays Md | |
|
4116 W Point Loma Blvd San Diego CA 92110-5605 | |
| (619) 225-1212 | |
| (619) 225-1726 |
| Full Name | Partnership Of Joseph E Allen Md & Russell B Hays Md |
|---|---|
| Speciality | Family Medicine |
| Location | 4116 W Point Loma Blvd, San Diego, California |
| Authorized Official Name and Position | Joseph E Allen (PARTNER) |
| Authorized Official Contact | 6192251212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Partnership Of Joseph E Allen Md & Russell B Hays Md 4116 W Point Loma Blvd San Diego CA 92110-5605 Ph: (619) 225-1212 | Partnership Of Joseph E Allen Md & Russell B Hays Md 4116 W Point Loma Blvd San Diego CA 92110-5605 Ph: (619) 225-1212 |
| NPI Number | 1154053007 |
|---|---|
| Provider Enumeration Date | 06/29/2022 |
| Last Update Date | 03/30/2023 |
| Medicare PECOS PAC ID | 0042675233 |
|---|---|
| Medicare Enrollment ID | O20230421001374 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154053007 | NPI | - | NPPES |
| 1164409165 | Other | CA | INDIVIDUAL NPI - RUSSELL B HAYS M.D. |
| 1285720011 | Other | CA | INDIVIDUAL NPI - JOSEPH E ALLEN M.D. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Joseph E Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285720011 PECOS PAC ID: 8224046115 Enrollment ID: I20120320001036 |
| Provider Name | Russell Bennett Hays |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164409165 PECOS PAC ID: 6709100639 Enrollment ID: I20180315001575 |
| Provider Name | Elizabeth Louise Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407611312 PECOS PAC ID: 1557809894 Enrollment ID: I20240816003218 |
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