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ALLERGY ASSOCIATES MEDICAL GROUP INC NPI 1134333073


NPI Information

NPI: 1134333073
Provider Name: ALLERGY ASSOCIATES MEDICAL GROUP INC
Classification: Allergy & Immunology - 207K00000X
Entity Type: Organization
Address:
6386 ALVARADO COURT
SUITE 210
SAN DIEGO, CA
ZIP 92120
Phone: (619) 286-6687
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ALLERGY ASSOCIATES MEDICAL GROUP INC is an allergy immunology in San Diego, CA. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. ALLERGY ASSOCIATES MEDICAL GROUP INC NPI is 1134333073. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6386 ALVARADO COURT
SUITE 210
SAN DIEGO, CA
ZIP 92120-907
Phone: (619) 286-6687
Fax: (619) 286-6695

The provider's authorized official is Bruce M Prenner .
The authorized official title is President and has the following contact phone number (619) 286-6687.

The enumeration date for this NPI number is 5/10/2007 and was last updated on 1/11/2011.


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
1207K00000XAllergy & ImmunologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W10208MEDICARE ID-TYPE UNSPECIFIED
2GR0062190MEDICAIDCALIFORNIA

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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