Individual
MR. ALLEN VY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
631 MAPLE AVE, LOS ANGELES, CA 90014-2211
(323) 302-2599
Mailing address
3611 S HARBOR BLVD STE 100, SANTA ANA, CA 92704-7915
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
01/06/2015
Last updated
05/20/2025
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