Basic Information
| Provider Information | |||||||||
| NPI: | 1477577716 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | BEST | ||||||||
| FirstName: | ALLEN | ||||||||
| MiddleName: | EARL | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 7001 | ||||||||
| Address2: | |||||||||
| City: | TARZANA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 913577001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8188887815 | ||||||||
| FaxNumber: | 8187151722 | ||||||||
| Practice Location | |||||||||
| Address1: | 801 S CHEVY CHASE DR | ||||||||
| Address2: | STE.#106 | ||||||||
| City: | GLENDALE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 912054431 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8182652275 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/27/2006 | ||||||||
| LastUpdateDate: | 05/11/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | G71410 | CA | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
ID Information
| ID | Type | State | Issuer | Description | 00G714100 | 05 | CA | MEDICAID | 00G714101 | 01 | CA | BLUE SHIELD | OTHER |