Provider Demographics
NPI:1477650406
Name:LEARN, ALISON ANN (MD)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:ANN
Last Name:LEARN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:15525 POMERADO RD
Mailing Address - Street 2:SUITE E1
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-2435
Mailing Address - Country:US
Mailing Address - Phone:858-485-7870
Mailing Address - Fax:858-485-6473
Practice Address - Street 1:15525 POMERADO RD
Practice Address - Street 2:SUITE E1
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-2435
Practice Address - Country:US
Practice Address - Phone:858-485-7870
Practice Address - Fax:858-485-6473
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG78450207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G78450OtherBLUE SHIELD
CAWG78450AMedicare ID - Type Unspecified
G54133Medicare UPIN