Individual
ALLEN T. PACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11633 SAN VICENTE BLVD, #202, LOS ANGELES, CA 90049-6511
(310) 820-9123
Mailing address
11633 SAN VICENTE BLVD, #202, LOS ANGELES, CA 90049-6511
(310) 820-9123
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
C34674
CA
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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