Justin Allen Medical Group PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

JUSTIN ALLEN MEDICAL GROUP PC

Practice address

1246 19TH St
Hermosa Beach, CA 90254-3308

Phone

(917) 324-9942

NPI assigned

Mar 6, 2025

Organization subpart

No

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

Authorized official

Name

Justin R Allen

Title

Owner

Phone

(917) 324-9942

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1741219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1952109654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E 43RD ST FL 7250",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1246 19TH ST",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902543308",
            "telephone_number": "917-324-9942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN ALLEN MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-06",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-324-9942"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer M Jordan, PSY.D.
• Nazanin Jourabloo, PSYD
• Julie Ursic Licensed Clinical Social Worker Inc.
• Rose Jung-Shaarawy, PSY.D.
• Doroteja Dora Jurisic
• Frank Erik Kaden, D.C.
• Kalm Minds Psychiatry Group
• Patrice Kane, MA, LMFT
• Kenneth S Kang, LMFT
• Dana A Kankolenski, PT

• Internal Medicine Physician in Hermosa Beach, CA
• Providers in Hermosa Beach, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.