Individual ProviderAllan A KnudsonFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address440 N Greenfield Ave, Suite G, Hanford, CA 93230(559) 584-0184PECOS EnrollmentThis provider is enrolled in PECOS as ALLAN KNUDSON.Based on the most recent information from CMS, provider Allan A Knudson is legally eligible to order and refer claims for DME and PMD services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1114053618Provider TypeIndividualFull NameKnudson, Allan ACredentialMDGenderMaleSole ProprietorYesEnumeration Date2/26/2007Last Updated3/31/2025Contact InformationPractice LocationPractice Address440 N Greenfield Ave, Suite G, Hanford, CA 93230Phone(559) 584-0184Fax(559) 584-0463Mailing LocationMailing Address440 N Greenfield Ave, Suite G, Hanford, CA 93230Phone(559) 584-0184Fax(559) 584-0463Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseG9036CaliforniaProvider IdentifiersIDDescriptionIssuerID000G90360DescriptionMedicaidIssuerUnlistedCalifornia