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General NPI Number Information
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NPI Number | 1366415440
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Entity Type | Individual
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Provider Name | CALLIOPE E ALLEN M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/09/2006
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Last Update Date | 11/01/2021
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Provider Practice Location Address
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Address Line | 4405 VANDEVER AVE
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City | SAN DIEGO
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State | CA
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Zip | 92120-3315
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Country | US
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Telephone | 619-528-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 34800 BOB WILSON DR
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City | SAN DIEGO
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State | CA
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Zip | 92134-1098
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Country | US
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Telephone | 619-532-9771
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 224397
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 68234
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License Number State | CA
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