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NPI Code Detail

MEDICARE: ALLAN A MCDONALD M.D.

MEDICARE: ALLAN A MCDONALD 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
12084P0800XPsychiatry PhysicianG10903CA

General Provider Information

NPI Number : 1821124942
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLAN A MCDONALD M.D.
Provider Business Mailing Address
First Line : PO BOX 50640
Second Line :
City : PASADENA
State : CA
Zip : 91115-0640
Country : US
Telephone Number : 626-288-4540
Fax Number : 626-441-0072
Provider Business Practice Location Address
First Line : 2933 EL NIDO DR
Second Line :
City : ALTADENA
State : CA
Zip : 91001-4529
Country : US
Telephone Number : 626-644-0442
Fax Number : 626-441-0072
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2007
Last Update Date : 07/08/2007

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Directions to “ ALLAN A MCDONALD M.D.” Practice Location

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