Organization
SUSAN PARK ALLEN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN PARK ALLEN MD (PRESIDENT)
(949) 645-9100
Entity
Organization
Contact information
Practice address
320 SUPERIOR AVE STE 270, NEWPORT BEACH, CA 92663-2778
(949) 645-9100
(949) 650-1135
Mailing address
320 SUPERIOR AVE STE 270, NEWPORT BEACH, CA 92663-2778
(949) 645-9100
(949) 650-1135
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G614460
BLUE SHIELD
—
05
—
00G614460
—
CA
Enumeration date
12/22/2005
Last updated
12/05/2025
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