OrganizationActive
Allen T Pack MD PC
NPI 1104955665 · Psychiatry Physician · Los Angeles, CA
Allen T Pack MD PC is a Psychiatry Physician organization in Los Angeles, CA (NPI 1104955665).
Provider details
- NPI number
- 1104955665
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Allen Pack, Owner(310) 820-9123
- License
- C34674 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11633 San Vicente Blvd
#202
Los Angeles, CA 90049-6511
Phone: (310) 820-9123
Street-level locationGet directions
Mailing address
11633 San Vicente Blvd
Los Angeles, CA 90049-6511
Registry dates
- Enumerated
- 2007-03-02
- Last updated
- 2008-07-07
Frequently asked questions
- What is Allen T Pack MD PC's NPI number?
- Allen T Pack MD PC's National Provider Identifier (NPI) is 1104955665, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Allen T Pack MD PC?
- Allen T Pack MD PC is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Allen T Pack MD PC located?
- Allen T Pack MD PC's practice location on file with NPPES is 11633 San Vicente Blvd, Los Angeles, CA 90049-6511.
- What is Allen T Pack MD PC's phone number?
- The practice phone number listed in the NPPES registry for Allen T Pack MD PC is (310) 820-9123.
- Who is the authorized official for Allen T Pack MD PC?
- The authorized official listed on Allen T Pack MD PC's NPPES record is Allen Pack, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Allen T Pack MD PC's NPI active?
- Yes — Allen T Pack MD PC's NPI (1104955665) is active in the NPPES registry as of the last update on 2008-07-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.