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PLEASANTON ALLERGY AND DERMATOLOGY INC NPI 1134466899


NPI Information

NPI: 1134466899
Provider Name: PLEASANTON ALLERGY AND DERMATOLOGY INC

Former Legal Business Name: LIVERMORE ALLERGY MEDICAL CLINIC

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
2324 SANTA RITA RD STE 2
PLEASANTON, CA
ZIP 94566
Phone: (925) 846-5100
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PLEASANTON ALLERGY AND DERMATOLOGY INC is a specialist in Pleasanton, 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. PLEASANTON ALLERGY AND DERMATOLOGY INC NPI is 1134466899. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Livermore Allergy Medical Clinic.

The provider's business location address is:

2324 SANTA RITA RD STE 2
PLEASANTON, CA
ZIP 94566-150
Phone: (925) 846-5100
Fax: (925) 846-1982

The provider's authorized official is Beth Lynn Cowan .
The authorized official title is Owner/operator and has the following contact phone number (925) 846-5100.

The enumeration date for this NPI number is 1/14/2013 and was last updated on 1/14/2013.


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
1174400000XSpecialistG8589CALIFORNIANo
2174400000XSpecialistG62905CALIFORNIANo
3174400000XSpecialistA85841CALIFORNIANo
4174400000XSpecialistA66278CALIFORNIAYes

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: 11/14/2023

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