Healthcare Provider Details

I. General information

NPI: 1922362425
Provider Name (Legal Business Name): ALLEN AMERI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2012
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 S BUENA VISTA ST
BURBANK CA
91505-4809
US

IV. Provider business mailing address

5419 HOLLYWOOD BLVD SUITE C BOX # 802
HOLLYWOOD CA
90027-3478
US

V. Phone/Fax

Practice location:
  • Phone: 323-405-4117
  • Fax: 470-275-0806
Mailing address:
  • Phone: 323-749-1155
  • Fax: 470-256-0806

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberA139594
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: