Healthcare Provider Details

I. General information

NPI: 1386459774
Provider Name (Legal Business Name): ALLISON PERRY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALLISON NAKASHIMA

II. Dates (important events)

Enumeration Date: 02/11/2025
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9455 CLAIREMONT MESA BLVD
SAN DIEGO CA
92123-1297
US

IV. Provider business mailing address

8484 ABILENE TER
LA MESA CA
91942-2720
US

V. Phone/Fax

Practice location:
  • Phone: 858-266-4200
  • Fax:
Mailing address:
  • Phone: 619-206-6427
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2279C0205X
TaxonomyCritical Care Registered Respiratory Therapist
License Number28301
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: