# SKILLEDMD, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982066932
- **Authorized official:** DR. ANTHONY EDWARD ALLEN MD (PRESIDENT)
- **Authorized official phone:** (415) 420-4325

## Contact information

- **Practice address:** 2512 TELEGRAPH AVE, SUITE 350, BERKELEY, CA 94704-2918
- **Practice address phone:** (415) 509-5243
- **Mailing address:** 2512 TELEGRAPH AVE, SUITE 350, BERKELEY, CA 94704-2918
- **Mailing address phone:** (415) 509-5243

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | CA | Yes |

## Other

- **Enumeration date:** 03/28/2016
- **Last updated:** 03/28/2016
