Organization
ALLEN MEDICAL GROUP, INC.
Active
Parent organization
YES
Organization subpart
Yes
Provider details
NPI number
Legal business name
YES
Authorized official
AVIONNE P. ALLEN-SINGH (PRESIDENT/CEO)
(866) 667-0517
Entity
Organization
Contact information
Practice address
13106 RIVERSIDE DR, SHERMAN OAKS, CA 91423-2152
(866) 667-0517
(866) 667-1206
Mailing address
13106 RIVERSIDE DR, SHERMAN OAKS, CA 91423-2152
(866) 667-0517
(866) 667-1206
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
208D00000X
General Practice Physician
—
—
225100000X
Physical Therapist
—
—
225400000X
Rehabilitation Practitioner
—
—
225X00000X
Occupational Therapist
—
—
227800000X
Certified Respiratory Therapist
—
—
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
12/18/2009
Last updated
02/20/2012
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