Individual provider · NPI-1

Matthew A Allison, MD

Preventive Medicine, Public Health & General Preventive Medicine · San Diego, CA

NPI number1700988730
StatusActive
Last updated in NPPESMar 30, 2015

Details

NPI
1700988730
Entity type
Individual (NPI-1)
Name
Matthew A Allison
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 1, 2006
Last updated
Mar 30, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2083P0901X Preventive Medicine, Public Health & General Preventive MedicineG080054CAYes

Practice location

3350 La Jolla Village Dr
Mailcode 112v
San Diego, CA 92161-0002

Phone 858-642-3289 · Fax 858-822-7662

Mailing address

9500 Gilman Dr
Mailcode 0965
La Jolla, CA 92093-0965

Phone 858-642-3289 · Fax 858-822-7662

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