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ALLERGY CARE CENTER A MEDICAL CORPORATION NPI 1396781894


NPI Information

NPI: 1396781894
Provider Name: ALLERGY CARE CENTER A MEDICAL CORPORATION

Doing Business As: COASTAL ALLERGY CARE

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 05D2204892

Address:
2412 N PONDEROSA DR
SUITE B111
CAMARILLO, CA
ZIP 93010
Phone: (805) 482-8989
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ALLERGY CARE CENTER A MEDICAL CORPORATION is a specialist in Camarillo, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ALLERGY CARE CENTER A MEDICAL CORPORATION NPI is 1396781894. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Coastal Allergy Care.

The provider's business location address is:

2412 N PONDEROSA DR
SUITE B111
CAMARILLO, CA
ZIP 93010-373
Phone: (805) 482-8989
Fax: (805) 987-2855

The provider's authorized official is Lewis J Kanter .
The authorized official title is President and has the following contact phone number (805) 482-8989.

The CLIA number assigned to this NPI record is 05D2204892 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/22/2006 and was last updated on 12/13/2012.


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
1174400000XSpecialistG34328CALIFORNIANo
2174400000XSpecialistA74064CALIFORNIAYes

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
1A45882MEDICARE UPINCALIFORNIA
2WG34328BMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIALEWIS KANTER
3WA74064AMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIACRISTINA N. PORCH-CURREN,
4W18677MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAGROUP ID
5H59666MEDICARE UPINCALIFORNIA

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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