Mark Allen
Individual provider Active NPI Rehabilitation Practitioner · Commerce, CA
NPI 1003934829 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1003934829
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rehabilitation Practitioner 225400000X
- Practice address
- 6055 E Washington Blvd
Suite 900
Commerce, CA 90040-2418 - Phone
- (323) 346-0960
- Fax
- (323) 346-0966
- NPI assigned
- Mar 27, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Yes |
Addresses
Primary practice location
6055 E Washington Blvd
Suite 900
Commerce, CA 90040-2418
Mailing address
1440 N Stanley Ave
Apt. #4
Los Angeles, CA 90046-4016
Phone (323) 874-9672
Other providers in Commerce, CA
- Syntia Alcantar
- Krizia Coleen M. Alcantara
- Alelie Aldrete
- Jacques Alexander
- Juan R. Alfaro
- Paul Allen
- Phaedra Allen
- Sharon Renne Allen
- Meridith Allison
- Juan Almonte
All providers in Commerce, CA · Rehabilitation Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.