Provider Demographics
NPI:1821151648
Name:MAYFIELD, ALAN RICHARD (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:RICHARD
Last Name:MAYFIELD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:34800 BOB WILSON DR.
Mailing Address - Street 2:BLDG 6, 3RD FLOOR, MENTAL HEALTH
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92134
Mailing Address - Country:US
Mailing Address - Phone:619-532-5666
Mailing Address - Fax:619-532-5687
Practice Address - Street 1:34800 BOB WILSON DR.
Practice Address - Street 2:BLDG 6, 3RD FLOOR, MENTAL HEALTH
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92134
Practice Address - Country:US
Practice Address - Phone:619-532-5666
Practice Address - Fax:619-532-5687
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2021-02-25
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Provider Licenses
StateLicense IDTaxonomies
CAA942052084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry