Provider Demographics
NPI:1265456768
Name:ALAMAR HEALTHCARE, INC.
Entity Type:Organization
Organization Name:ALAMAR HEALTHCARE, INC.
Other - Org Name:JEFFREY B. ALLAN, M.D., INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:B
Authorized Official - Last Name:ALLAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-484-0055
Mailing Address - Street 1:58 W LOOP DR
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-2035
Mailing Address - Country:US
Mailing Address - Phone:805-484-0055
Mailing Address - Fax:805-484-4439
Practice Address - Street 1:58 W LOOP DR
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-2035
Practice Address - Country:US
Practice Address - Phone:805-484-0055
Practice Address - Fax:805-484-4439
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG74327207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty