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MARK D ALLISON MD A PROFESSIONAL COMPANY NPI 1942442157


NPI Information

NPI: 1942442157
Provider Name: MARK D, ALLISON, MD, A PROFESSIONAL COMPANY

Doing Business As: MARK D. ALLISON, M.D.

Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization

CLIA Number: 05D2048000

Address:
4100 CENTRAL AVE
106
RIVERSIDE, CA
ZIP 92506
Phone: (951) 788-8332
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MARK D, ALLISON, MD, A PROFESSIONAL COMPANY is a non pharmacy dispensing site in Riverside, CA. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) MARK D, ALLISON, MD, A PROFESSIONAL COMPANY NPI is 1942442157. The provider is registered as an organization entity type.
The provider Is Doing Business As Mark D. Allison, M.d..

The provider's business location address is:

4100 CENTRAL AVE
106
RIVERSIDE, CA
ZIP 92506-933
Phone: (951) 788-8332

The provider's authorized official is Kenny Heine .
The authorized official title is Director Of Opertations and has the following contact phone number (858) 625-2990.

The CLIA number assigned to this NPI record is 05D2048000 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/2/2009 and was last updated on 3/30/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332900000XNon-Pharmacy Dispensing SiteA51300CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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