Ethan R Allen (NPI# 1114016912, PAC ID# 7911022751) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1114016912 |
| PAC ID by PECOS | 7911022751 |
| Professional Enrollment ID | I20100916000472 |
| Full Name | Ethan R Allen |
| Address |
12820 Studebaker Rd Suite 101 Norwalk CA 90650-2580 |
| Phone Number | 5628687873 |
| Gender | M |
| Medical School | COLLEGE OF OSTEOPATHIC PHYSICIANS AND SURGEONS OF LOS ANGELES |
| Graduation Year | 1951 |
| Primary Specialty | FAMILY PRACTICE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050771 | COAST PLAZA HOSPITAL |
| 050581 | LAKEWOOD REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 12820 Studebaker Rd, Suite 101, Norwalk, CA 90650-2580 | 5628687873 | |
| 12820 Studebaker Rd, Norwalk, CA 90650-2580 | 5628687873 |
| Street Address |
12820 STUDEBAKER RD SUITE 101 |
| City | NORWALK |
| State | CA |
| Zip | 90650-2580 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyoung Min Han | Podiatry | Mark S Linam Dpm A Professional Corp. | 12820 Studebaker Rd, Suite 200, Norwalk, CA 90650-2583 |
| Aziz Rasooli | Podiatry | Mark S Linam Dpm A Professional Corp. | 12820 Studebaker Rd, Suite 200, Norwalk, CA 90650-2583 |
| Mark Linam | Podiatry | Mark S Linam Dpm A Professional Corp. | 12820 Studebaker Rd, Suite 200, Norwalk, CA 90650-2583 |
| Janelle T Green | Podiatry | Mark S Linam Dpm A Professional Corp. | 12820 Studebaker Rd, Suite 200, Norwalk, CA 90650-2583 |
| Ray Gokaldas | Gastroenterology | 12820 Studebaker Rd, Suite 201, Norwalk, CA 90650-2581 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rung Tan | Oral Surgery | Department of State Hospitals | 11401 Gloomfield Ave, Norwalk, CA 90650 |
| Tommy G Milladge | Clinical Psychologist | Department of State Hospitals | 11401 Gloomfield Ave, Norwalk, CA 90650 |
| Maria Lourdes Agbing-mamangun | Psychiatry | Southern California Permanente Medical Group | 12501 Imperial Hwy 400, Norwalk, CA 90650-1419 |
| Priyanka M Deshmukh | Psychiatry | Southern California Permanente Medical Group | 12501 Imperial Hwy 400, Norwalk, CA 90650-1419 |
| Robert D Ho-hoang | Psychiatry | Southern California Permanente Medical Group | 12501 Imperial Hwy 400, Norwalk, CA 90650-1419 |
| James C Lu | Psychiatry | Southern California Permanente Medical Group | 12501 Imperial Hwy 400, Norwalk, CA 90650-1419 |
| Michael S Hwang | Psychiatry | Southern California Permanente Medical Group | 12501 Imperial Hwy 400, Norwalk, CA 90650-1419 |
| Paul Ananias | Psychiatry | Department of State Hospitals | 11401 Bloomfield Ave, Norwalk, CA 90650-2015 |
| Chi M Vu | Internal Medicine | Department of State Hospitals | 11401 Bloomfield Ave, Norwalk, CA 90650-2015 |
| Yvonne C Mcdowell | Psychiatry | Department of State Hospitals | 11401 Bloomfield Ave, Norwalk, CA 90650-2015 |
| Find all physicians in zip 90650 | |||
| City | NORWALK |
| Zip Code | 90650 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | NORWALK + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Ethan R Allen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.