Individual
EDWARD CLARK ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2190 CARMEL VALLEY RD, B, DEL MAR, CA 92014-3772
(858) 877-9804
(858) 724-1820
Mailing address
2190 CARMEL VALLEY RD, B, DEL MAR, CA 92014-3772
(858) 877-9804
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A48040
CA
2084P0805X
Geriatric Psychiatry Physician
A48040
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A480400
—
CA
Enumeration date
10/06/2006
Last updated
10/15/2015
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