MEDICARE: DR. ROBERT WALDO 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	208600000X	Surgery Physician	176876	CA

General Provider Information

NPI Number	:	1730610403
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT WALDO ALLEN M.D.

Provider Business Mailing Address
First Line	:	38 CUESTA VISTA DR
Second Line	:
City	:	MONTEREY
State	:	CA
Zip	:	93940-4306
Country	:	US
Telephone Number	:	610-213-0986
Fax Number	:

Provider Business Practice Location Address
First Line	:	65 NIELSON ST STE 125
Second Line	:
City	:	WATSONVILLE
State	:	CA
Zip	:	95076-2491
Country	:	US
Telephone Number	:	831-768-6266
Fax Number	:	831-768-6289

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

Provider Enumeration Date	:	03/24/2017
Last Update Date	:	12/16/2025

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