Provider Demographics
NPI:1649313529
Name:DUMOLIEN, ALLEN JOSEPH (ATC)
Entity type:Individual
Prefix:
First Name:ALLEN
Middle Name:JOSEPH
Last Name:DUMOLIEN
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5042 DUNBAR AVE APT C
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92649-4416
Mailing Address - Country:US
Mailing Address - Phone:714-323-9533
Mailing Address - Fax:
Practice Address - Street 1:1000 BRISTOL ST N
Practice Address - Street 2:SUITE 25
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-8916
Practice Address - Country:US
Practice Address - Phone:949-250-1112
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2009-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer