Provider Demographics
NPI:1780875575
Name:BEARDEN, ALLISON LYNN (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:LYNN
Last Name:BEARDEN
Suffix:
Gender:F
Credentials:MD, MPH
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Mailing Address - Street 1:1640 MARENGO STREET HRA 300 MC 9264
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90089-9300
Mailing Address - Country:US
Mailing Address - Phone:323-865-1575
Mailing Address - Fax:323-224-5013
Practice Address - Street 1:1240 N MISSION RD
Practice Address - Street 2:WCH L902
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90033-1019
Practice Address - Country:US
Practice Address - Phone:323-226-3691
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-06
Last Update Date:2018-03-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA94892207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine