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NPI Code Detail

MEDICARE: DR. CALLIOPE E ALLEN M.D.

MEDICARE: DR. CALLIOPE E ALLEN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician224397MA
2207W00000XOphthalmology Physician68234CA

General Provider Information

NPI Number : 1366415440
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CALLIOPE E ALLEN M.D.
Provider Business Mailing Address
First Line : 34800 BOB WILSON DR
Second Line :
City : SAN DIEGO
State : CA
Zip : 92134-1098
Country : US
Telephone Number : 619-532-9771
Fax Number :
Provider Business Practice Location Address
First Line : 4405 VANDEVER AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92120-3315
Country : US
Telephone Number : 619-528-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2006
Last Update Date : 11/01/2021

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