Allen T Pack MD PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

C34674 Issued in CA

Legal business name

ALLEN T PACK MD PC

Practice address

11633 San Vicente Blvd
#202
Los Angeles, CA 90049-6511

Phone

(310) 820-9123

NPI assigned

Mar 2, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Allen T Pack, MDNPI 1801924642

Title

Owner

Phone

(310) 820-9123

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Allen T. Pack, M.D.

  • Psychiatry Physician
  • Los Angeles, CA
  • NPI 1801924642
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1104955665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11633 SAN VICENTE BLVD",
            "address_2": "#202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496511",
            "telephone_number": "310-820-9123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11633 SAN VICENTE BLVD",
            "address_2": "#202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496511",
            "telephone_number": "310-820-9123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN T PACK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "PACK",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-820-9123",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C34674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allen B Prager DPM PC
• Allen I Salick, MD Inc
• Allen I. Salick M.D., a Professioanl Corporation
• Allen I. Salick, M.D., a Professional Corporation
• Allen Liu Acupuncture Centers, Inc.
• Martin Sebastian Allen-Auerbach, MD
• Aleisha L. Allen, M.S. CCC-SLP
• Allyson W Allen, PA
• Amanda Allen
• Amanda Marie Allen, MS, RDN

• Psychiatry Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.