MEDICARE: MRS. MARY LETA ALLEN

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
1	3747A0650X	Attendant Care Provider

General Provider Information

NPI Number	:	1578112728
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARY LETA ALLEN

Provider Business Mailing Address
First Line	:	4465 MAPLE ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92105-4762
Country	:	US
Telephone Number	:	619-957-1717
Fax Number	:

Provider Business Practice Location Address
First Line	:	4465 MAPLE ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92105-4762
Country	:	US
Telephone Number	:	619-957-1717
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/10/2019
Last Update Date	:	09/10/2019

Similar Medicare Providers

1649995937 — MR. HUAN PHU PHAM
Practice Location Address:

5252 EL CAJON BLVD APT 208
SAN DIEGO, CA
92115-4762

Practice Phone: 619-314-2728
Practice Fax:

1073404190 — DR. BRIELLE SALAMONE
Practice Location Address:

4614 EDGEWARE RD APT 15
SAN DIEGO, CA
92116-4762

Practice Phone: 973-255-9796
Practice Fax:

1821341462 — MS. JOAN RENEE DUPUY AUD
Practice Location Address:

18518 HARDY OAK BLVD STE 300
SAN ANTONIO, TX
78258-4762

Practice Phone: 210-696-4327
Practice Fax: 210-798-2509

1275091480 — ROBERT ASHLEY KAISER APRN-CNP, FNP-C
Practice Location Address:

18518 HARDY OAK BLVD STE 300
SAN ANTONIO, TX
78258-4762

Practice Phone: 210-696-4327
Practice Fax: 107-982-5092

1528695319 — CENTRAL COAST VETERANS ASSOCIATES LLC
Practice Location Address:

1890 DIABLO DRIVE
SAN LUIS OBISPO, CA
93405-4762

Practice Phone: 805-459-2585
Practice Fax: 805-781-0525

1538894449 — MS. LAUREN ASHLEY TAYLOR PA-C
Practice Location Address:

18518 HARDY OAK BLVD STE 300
SAN ANTONIO, TX
78258-4762

Practice Phone: 210-696-4327
Practice Fax:

Directions to “ MRS. MARY LETA ALLEN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.