Organization
ALLEN T PACK MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEN T PACK MD (OWNER)
(310) 820-9123
Entity
Organization
Contact information
Practice address
11633 SAN VICENTE BLVD, #202, LOS ANGELES, CA 90049-6511
(310) 820-9123
Mailing address
11633 SAN VICENTE BLVD, #202, LOS ANGELES, CA 90049-6511
(310) 820-9123
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
C34674
CA
Other
Enumeration date
03/02/2007
Last updated
07/07/2008
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