Organization
S A ALLEN MD INC A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARCIE LOPEZ (MEDICAL BILLING COORDINATOR)
(760) 863-1592
Entity
Organization
Contact information
Practice address
79440 CORPORATE CENTER DR, #110, LA QUINTA, CA 92253-7241
(760) 564-3533
Mailing address
79440 CORPORATE CENTER DR, #110, LA QUINTA, CA 92253-7241
(760) 564-3533
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
A064634
CA
Other
Enumeration date
05/05/2008
Last updated
07/07/2017
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