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BEACH ALLERGY & ASTHMA SPECIALTY GROUP NPI 1902873060


NPI Information

NPI: 1902873060
Provider Name: BEACH ALLERGY & ASTHMA SPECIALTY GROUP

Former Legal Business Name: ALLERGY & ASTHMA CARE CENTER OF SOUTHERN CALIFORNIA

Classification: Allergy & Immunology - 207K00000X
Entity Type: Organization

CLIA Number: 05D0684450

Address:
3816 WOODRUFF AVE
SUITE 209
LONG BEACH, CA
ZIP 90808
Phone: (562) 496-4749
Get Directions

BEACH ALLERGY & ASTHMA SPECIALTY GROUP is an allergy immunology in Long Beach, CA. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. BEACH ALLERGY & ASTHMA SPECIALTY GROUP NPI is 1902873060. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Allergy & Asthma Care Center Of Southern California.

The provider's business location address is:

3816 WOODRUFF AVE
SUITE 209
LONG BEACH, CA
ZIP 90808-147
Phone: (562) 496-4749
Fax: (562) 429-3329

The provider's authorized official is Steven Mark Meltzer .
The authorized official title is Partner and has the following contact phone number (562) 496-4749.

The CLIA number assigned to this NPI record is 05D0684450 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/7/2006 and was last updated on 7/23/2021.


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
1207K00000XAllergy & ImmunologyYes

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
1ZZZ22603ZOTHERCALIFORNIABLUE SHIELD

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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