MEDICARE: DR. RACHAEL ANN ALLEN D.O

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	171000000X	Military Health Care Provider
2	207W00000X	Ophthalmology Physician	20A14877	CA

General Provider Information

NPI Number	:	1801275391
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RACHAEL ANN ALLEN D.O

Provider Business Mailing Address
First Line	:	NAVAL HOSPITAL CAMP PENDLETON
Second Line	:	200 MERCY CIRCLE
City	:	CAMP PENDLETON
State	:	CA
Zip	:	92055
Country	:	US
Telephone Number	:	760-725-1288
Fax Number	:

Provider Business Practice Location Address
First Line	:	5330 CARROLL CANYON RD STE 210
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92121-3758
Country	:	US
Telephone Number	:	800-765-2737
Fax Number	:

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

Provider Enumeration Date	:	05/29/2015
Last Update Date	:	10/09/2024

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