Provider Demographics
NPI:1952670374
Name:ALLEN MEDICAL HOUSECALLS, PC
Entity Type:Organization
Organization Name:ALLEN MEDICAL HOUSECALLS, PC
Other - Org Name:ALLEN MEDICAL HOUSECALLS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:AVIONNE
Authorized Official - Middle Name:P
Authorized Official - Last Name:ALLEN-SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-667-0517
Mailing Address - Street 1:13949 VENTURA BLVD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-3584
Mailing Address - Country:US
Mailing Address - Phone:866-667-0517
Mailing Address - Fax:866-667-1206
Practice Address - Street 1:13949 VENTURA BLVD
Practice Address - Street 2:SUITE 206
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91423-3584
Practice Address - Country:US
Practice Address - Phone:866-667-0517
Practice Address - Fax:866-667-1206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-14
Last Update Date:2011-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Multi-Specialty
No133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty