Provider Type Icon

ALLERGY MEDICAL CLINIC NPI 1639234354


NPI Information

NPI: 1639234354
Provider Name: ALLERGY MEDICAL CLINIC
Classification: Allergy & Immunology - 207KI0005X
Entity Type: Organization

Specialization: Clinical & Laboratory Immunology

Address:
11620 WILSHIRE BLVD
SUITE 200
LOS ANGELES, CA
ZIP 90025
Phone: (310) 312-5050
Get Directions

ALLERGY MEDICAL CLINIC is a clinical and laboratory immunology allergy immunology in Los Angeles, 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 MEDICAL CLINIC NPI is 1639234354. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11620 WILSHIRE BLVD
SUITE 200
LOS ANGELES, CA
ZIP 90025-706
Phone: (310) 312-5050
Fax: (310) 575-9292

The provider's authorized official is Joy Vernon .
The authorized official title is Biller and has the following contact phone number (310) 478-0964.

The enumeration date for this NPI number is 12/22/2006 and was last updated on 8/22/2020.


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 ImmunologyCALIFORNIAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.