Provider Demographics
NPI:1598935942
Name:ALLRED, DARIN VINCENT (MD)
Entity Type:Individual
Prefix:DR
First Name:DARIN
Middle Name:VINCENT
Last Name:ALLRED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:821 S PARK VINE ST
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-4839
Mailing Address - Country:US
Mailing Address - Phone:714-618-1889
Mailing Address - Fax:
Practice Address - Street 1:2420 CAMINO RAMON
Practice Address - Street 2:SUITE 270
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-4385
Practice Address - Country:US
Practice Address - Phone:925-543-0140
Practice Address - Fax:925-543-0145
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-29
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA96249207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology