Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Allen T Pack MD PC

Organization Psychiatry Physician · NPI 1104955665

Allen T Pack MD PC is a Psychiatry Physician in Los Angeles, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11633 San Vicente Blvd #202
Los Angeles, CA 90049-6511
Phone: (310) 820-9123
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence C34674 (CA)

Record details

NPI number1104955665
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Allen Pack — Owner · (310) 820-9123
NPI enumeratedMarch 2, 2007
Last updated in NPPESJuly 7, 2008
Mailing address11633 San Vicente Blvd, 202, Los Angeles, CA 90049-6511

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