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ALLERGY ASTHMA SINUS MEDICAL CENTER NPI 1083857742


NPI Information

NPI: 1083857742
Provider Name: ALLERGY ASTHMA SINUS MEDICAL CENTER
Classification: Allergy & Immunology - 207KI0005X
Entity Type: Organization

Specialization: Clinical & Laboratory Immunology

Address:
4644 LINCOLN BLVD STE 410
MARINA DEL REY, CA
ZIP 90292
Phone: (310) 823-6766
Get Directions

ALLERGY ASTHMA SINUS MEDICAL CENTER is a clinical and laboratory immunology allergy immunology in Marina Del Rey, CA. The provider is an allergy and immunology physician who specializes in clinical and laboratory immunology disease management. Source: National Uniform Claim Committee, 2022 Additional Resources: A certification was, but is no longer, issued by the American Board of Allergy and Immunology. ALLERGY ASTHMA SINUS MEDICAL CENTER NPI is 1083857742. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4644 LINCOLN BLVD STE 410
MARINA DEL REY, CA
ZIP 90292-390
Phone: (310) 823-6766
Fax: (310) 823-6966

The provider's authorized official is Jorge A. Quel .
The authorized official title is Director and has the following contact phone number (310) 823-6766.

The enumeration date for this NPI number is 4/10/2009 and was last updated on 4/10/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207KI0005XAllergy & ImmunologyClinical & Laboratory ImmunologyYes

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: 4/28/2024

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