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Contact Information

JONATHAN W ALLEN, MD
2500 MERCED STREET
SAN LEANDRO, CA94577-4201
 Phone: 510-454-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JONATHAN W ALLEN · (Male)

NPI # 1922186402
Status Active
Credentials MD
Entity Individual
Enumeration date 11/01/2006
Last updated 03/01/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 69326
  • CA License # G76225
  • CO License # DR.00698522
  • FL License # TPME4726
  • GA License # 94746
  • HI License # MD-13915
  • NC License # 2023-01015
  • NY License # 175607
  • OK License # 41042
  • SC License # 89343
  • WA License # IMLC.MD.61407700
Hospital affiliation(s)
  • MERCY MEDICAL CENTER REDDING - (Acute Care)
    2175 ROSALINE AVE, CLAIRMONT HGTS
    REDDING, CA 96001
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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