Individual
ALLEN JAMES STREELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9040 TELEGRAPH RD STE 102, DOWNEY, CA 90240-2395
(562) 861-0954
(562) 231-1906
Mailing address
PO BOX 275, ARTESIA, CA 90702-0275
(562) 282-4038
(562) 977-4220
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A3863
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX38630
—
CA
01
—
010052829
RAILROAD
—
01
—
020A38630
BLUE SHIELD ID #
—
01
—
035425
HEALTH NET ID #
—
Enumeration date
06/02/2006
Last updated
07/11/2019
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