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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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