DR. JUANA CONSTANTINA PHILLIPP M.D. NPI 1043358104

NPI Information

NPI: 1043358104
Provider Name: DR. JUANA CONSTANTINA PHILLIPP, M.D.
Classification: Allergy & Immunology - 207KA0200X
Entity Type: Individual

Specialization: Allergy

PECOS Registration: Yes

Address:
130 W ROUTE 66
SUITE #220
GLENDORA, CA
ZIP 91740
Phone: (626) 914-5803
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DR. Juana Constantina Phillipp, M.D. is an allergy allergy immunology in Glendora, CA with 53 years of experience. DR. Juana Constantina Phillipp, M.D. NPI is 1043358104. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

130 W ROUTE 66
SUITE #220
GLENDORA, CA
ZIP 91740-249
Phone: (626) 914-5803

The NPI 1043358104 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/1/2007 and was last updated on 6/10/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207KA0200X	Allergy & Immunology	Allergy	A33955	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	OOA339550	MEDICAID	CALIFORNIA
2	WA33955A	MEDICARE PIN	CALIFORNIA
3	A84544	MEDICARE UPIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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