MEDICARE: DR. STEVEN ANDREW ALLEN M.D.

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	2084P0802X	Addiction Psychiatry Physician	A129366	CA

General Provider Information

NPI Number	:	1700144557
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN ANDREW ALLEN M.D.

Provider Business Mailing Address
First Line	:	14238 SARANAC LN
Second Line	:
City	:	SYLMAR
State	:	CA
Zip	:	91342-1435
Country	:	US
Telephone Number	:	818-485-0888
Fax Number	:

Provider Business Practice Location Address
First Line	:	14238 SARANAC LN
Second Line	:
City	:	SYLMAR
State	:	CA
Zip	:	91342-1435
Country	:	US
Telephone Number	:	818-485-0888
Fax Number	:

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

Provider Enumeration Date	:	04/30/2012
Last Update Date	:	09/02/2022

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