Provider Demographics
NPI:1477704518
Name:RENE B. ALLEN, MD,
Entity type:Organization
Organization Name:RENE B. ALLEN, MD,
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOHNELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZARUTSKIE
Authorized Official - Suffix:
Authorized Official - Credentials:RNC
Authorized Official - Phone:949-887-0414
Mailing Address - Street 1:536 E ARRELLAGA ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93103-2264
Mailing Address - Country:US
Mailing Address - Phone:805-965-3400
Mailing Address - Fax:
Practice Address - Street 1:536 E ARRELLAGA ST
Practice Address - Street 2:SUITE 201
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93103-2264
Practice Address - Country:US
Practice Address - Phone:805-965-3400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-07
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA81775207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1265630602OtherNPI