MEDICARE: JANET 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	103T00000X	Psychologist	2942	CA

General Provider Information

NPI Number	:	1841508975
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANET ALLEN

Provider Business Mailing Address
First Line	:	400 CORPORATE POINTE
Second Line	:	STE. 300
City	:	CULVER CITY
State	:	CA
Zip	:	90230-7615
Country	:	US
Telephone Number	:	310-663-1899
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 CORPORATE POINTE
Second Line	:	STE. 300
City	:	CULVER CITY
State	:	CA
Zip	:	90230-7615
Country	:	US
Telephone Number	:	310-663-1899
Fax Number	:

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

Provider Enumeration Date	:	09/23/2010
Last Update Date	:	09/24/2010

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Directions to “ JANET ALLEN ” Practice Location

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