Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Allen T Pack MD PC

Organization Psychiatry Physician · NPI 1104955665

Allen T Pack MD PC provides Psychiatry Physician services 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 Not confirmed with CMS for 18 years — call before visiting
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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