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LIVERMORE ALLERGY MEDICAL CLINIC NPI 1902811037


NPI Information

NPI: 1902811037
Provider Name: LIVERMORE ALLERGY MEDICAL CLINIC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
2324 SANTA RITA RD
PLEASANTON, CA
ZIP 94566
Phone: (925) 846-5100
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LIVERMORE ALLERGY MEDICAL CLINIC 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. LIVERMORE ALLERGY MEDICAL CLINIC NPI is 1902811037. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2324 SANTA RITA RD
PLEASANTON, CA
ZIP 94566-152
Phone: (925) 846-5100
Fax: (925) 846-4982

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

The enumeration date for this NPI number is 7/29/2006 and was last updated on 7/25/2008.


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
1174400000XSpecialistYes

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
1A66278OTHERCALIFORNIABETH COWAN LICENSE
2G62900OTHERCALIFORNIADEAN LICENSE
3G8589OTHERCALIFORNIAMICHAEL COWAN
4858517MEDICARE UPINCALIFORNIA
5ZZZ29664ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMEDICARE NUMBER
6ZZZ29664ZMEDICARE 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: 11/14/2023

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