Provider Demographics
NPI:1649273475
Name:ALLAMAN, CHRISTEN (MD)
Entity type:Individual
Prefix:
First Name:CHRISTEN
Middle Name:
Last Name:ALLAMAN
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 1:1665 DOMINICAN WAY
Mailing Address - Street 2:STE 122
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95065-1528
Mailing Address - Country:US
Mailing Address - Phone:831-476-1298
Mailing Address - Fax:
Practice Address - Street 1:1665 DOMINICAN WAY
Practice Address - Street 2:STE 122
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95065-1528
Practice Address - Country:US
Practice Address - Phone:831-476-1298
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2017-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG82234207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
G39015Medicare UPIN
CA0527260001Medicare NSC
G39015Medicare UPIN