Allen, Susan Park

Allen, Susan Park is an sole proprietor health care provider with primary practice located at 320 Superior Avenue Suite 290, Newport Beach CA 92663. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Allen, Susan Park can be contacted via phone (949) 645-9100.

Contact Information

Primary practice address
320 Superior Avenue Suite 290 Newport Beach CA 92663
Phone: (949) 645-9100
Fax: (949) 809-9640
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X G061446 California

Profile Details

NPI number 1841276805
LBN Legal business name Allen, Susan Park
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 21st, 2005
Last updated Jul 7th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841276805 NPPES
Other 00G614460 BLUE SHIELD
Other 00G61440 BLUE SHIELD

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