Individual
JOHN J ALLAVIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4605 BROCKTON AVE, SUITE 100, RIVERSIDE, CA 92506-0107
(951) 686-4911
(951) 686-9409
Mailing address
4605 BROCKTON AVE, SUITE 100, RIVERSIDE, CA 92506-0107
(951) 686-4911
(951) 686-9409
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G47555
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G47550
—
CA
Enumeration date
04/05/2006
Last updated
02/18/2009
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