Organization
GWEN M. ALLEN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GWEN MARIA ALLEN MD (PRESIDENT/ CEO)
(310) 329-9492
Entity
Organization
Contact information
Practice address
1045 W REDONDO BEACH BLVD, SUITE 500, GARDENA, CA 90247-4128
(310) 329-9492
(310) 329-3799
Mailing address
1141 W REDONDO BEACH BLVD STE 402, GARDENA, CA 90247-3582
(310) 329-9492
(310) 329-6314
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
A061790
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A617900
—
CA
Enumeration date
08/14/2006
Last updated
05/05/2023
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