Provider Demographics
NPI:1639895741
Name:ALLO INTEGRATIVE HEALTH CENTER
Entity type:Organization
Organization Name:ALLO INTEGRATIVE HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE MIDWIFE, NURSE PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHANELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:NSANGOU NJOYA
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, FNP-C, CNM
Authorized Official - Phone:949-393-3633
Mailing Address - Street 1:136 MONTE VIS
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92602-2004
Mailing Address - Country:US
Mailing Address - Phone:949-393-3633
Mailing Address - Fax:
Practice Address - Street 1:180 E MAIN ST STE 203
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-4414
Practice Address - Country:US
Practice Address - Phone:949-393-3633
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-19
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty