Basic Information
| Provider Information | |||||||||
| NPI: | 1073977872 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MUSMANNO | ||||||||
| FirstName: | ALLISON | ||||||||
| MiddleName: | KRISTI | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1105 PATTERSON LN | ||||||||
| Address2: | |||||||||
| City: | PACIFIC GROVE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 939505306 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3602418908 | ||||||||
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| Practice Location | |||||||||
| Address1: | 299 12TH ST STE A | ||||||||
| Address2: | |||||||||
| City: | MARINA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 939336003 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8316477652 | ||||||||
| FaxNumber: | 8316477940 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/07/2016 | ||||||||
| LastUpdateDate: | 04/11/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/01/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | A151702 | CA | N | Allopathic & Osteopathic Physicians | Family Medicine | 2084P0800X | A151702 | CA | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
No ID Information.