Healthcare Provider Details

I. General information

NPI: 1629235585
Provider Name (Legal Business Name): ALLEN L. ISERI M.D.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2008
Last Update Date: 07/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

478 S ANAHEIM HILLS RD
ANAHEIM CA
92807
US

IV. Provider business mailing address

478 S ANAHEIM HILLS RD
ANAHEIM CA
92807
US

V. Phone/Fax

Practice location:
  • Phone: 714-282-5437
  • Fax: 714-282-8724
Mailing address:
  • Phone: 714-282-5437
  • Fax: 714-282-8724

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ALLEN LLOYD ISERI
Title or Position: OWNER
Credential: M.D.
Phone: 714-282-5437