Provider Demographics
NPI:1023255619
Name:REMESZ, ALLISON LEE (DO)
Entity type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:LEE
Last Name:REMESZ
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14251 WINCHESTER BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-1811
Mailing Address - Country:US
Mailing Address - Phone:408-426-5540
Mailing Address - Fax:
Practice Address - Street 1:14251 WINCHESTER BLVD STE 200
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-1811
Practice Address - Country:US
Practice Address - Phone:408-426-5540
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-19
Last Update Date:2019-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036127227207R00000X
CA20A17291207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036127227Medicaid
IL036127227OtherSTATE LICENSE
WI55556-021OtherLICENSE