Andrew Allen MD Corporation

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

ANDREW ALLEN MD CORPORATION

Practice address

11878 Avenue of Industry
San Diego, CA 92128-3423

Phone

(619) 940-4682

Fax

(701) 300-7986

NPI assigned

Jun 12, 2020

Organization subpart

No

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

Authorized official

Name

Andrew Thomas Allen, MD

Title

Owner/All Officers

Phone

(619) 940-4682

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591920000000",
    "number": "1164047353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1770",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919441770",
            "telephone_number": "619-940-4682",
            "fax_number": "701-300-7986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11878 AVENUE OF INDUSTRY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921283423",
            "telephone_number": "619-940-4682",
            "fax_number": "701-300-7986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW ALLEN MD CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-12",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER/ALL OFFICERS",
        "authorized_official_telephone_number": "619-940-4682",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Andreoli, PHARMD
• Matthew Andreolli, MS, ATC
• Lily Hopper Andres, PT, DPT
• Natalia Andres
• Sarah Rae Andreski, PHD
• Andrew Chan & Linda Chan, DDS, Inc.
• Andrew Cu-Unjieng, M.D.
• Andrew J Severson DDS Apc
• Andrew J. Zakarian, DDS, Inc.
• Andrew Joseph Homes LLC

• Psychiatry Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; 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.