Individual
ANDREW THOMAS ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11878 AVENUE OF INDUSTRY, SAN DIEGO, CA 92128-3423
(619) 940-4682
Mailing address
PO BOX 1770, LA MESA, CA 91944-1770
(619) 940-4682
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A152457
CA
Other
Enumeration date
06/01/2016
Last updated
12/30/2024
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