MEDICARE: ALLEN MEDICAL HOUSECALLS INTERNATIONAL, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207Q00000X	Family Medicine Physician
2	207QA0505X	Adult Medicine Physician
3	207QG0300X	Geriatric Medicine (Family Medicine) Physician
4	207R00000X	Internal Medicine Physician
5	207RG0300X	Geriatric Medicine (Internal Medicine) Physician
6	2083P0901X	Public Health & General Preventive Medicine Physician
7	213E00000X	Podiatrist
8	363A00000X	Physician Assistant
9	363L00000X	Nurse Practitioner
10	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1912252602
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLEN MEDICAL HOUSECALLS INTERNATIONAL, INC.

Provider Business Mailing Address
First Line	:	13106 RIVERSIDE DR
Second Line	:
City	:	SHERMAN OAKS
State	:	CA
Zip	:	91423-2152
Country	:	US
Telephone Number	:	866-667-0517
Fax Number	:	866-667-1206

Provider Business Practice Location Address
First Line	:	2221 NE 164TH ST
Second Line	:	SUITE 314
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33160-3703
Country	:	US
Telephone Number	:	866-667-0517
Fax Number	:	866-667-1206

Authorized Official
Title or Position	:	PRESIDENT, CEO
Name	:	AVIONNE P ALLEN-SINGH
Credential	:
Telephone Number	:	866-667-0517

Provider Enumeration Date	:	07/18/2012
Last Update Date	:	07/18/2012

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