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ALLERGY MEDICAL GROUP INC. NPI 1720289788


NPI Information

NPI: 1720289788
Provider Name: ALLERGY MEDICAL GROUP, INC.

Other Name: AMG, INC

Classification: Internal Medicine - 207RA0201X
Entity Type: Organization

Specialization: Allergy & Immunology

Address:
400 NEWPORT CENTER DR
SUITE 401
NEWPORT BEACH, CA
ZIP 92660
Phone: (949) 644-9424
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ALLERGY MEDICAL GROUP, INC. is an allergy and immunology internal medicine in Newport Beach, CA. The provider is an internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. ALLERGY MEDICAL GROUP, INC. NPI is 1720289788. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Amg, Inc.

The provider's business location address is:

400 NEWPORT CENTER DR
SUITE 401
NEWPORT BEACH, CA
ZIP 92660-601
Phone: (949) 644-9424
Fax: (949) 644-1424

The provider's authorized official is John T Chiu .
The authorized official title is Ceo Owner and has the following contact phone number (949) 644-9424.

The enumeration date for this NPI number is 5/29/2007 and was last updated on 5/19/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RA0201XInternal MedicineAllergy & ImmunologyW080CALIFORNIAYes

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
1ZZZ70106ZMEDICAIDCALIFORNIA
2ZZZ70106ZOTHERCALIFORNIABLUE SHIELD
3W080MEDICARE PINCALIFORNIA

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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