PHILLIPP MEDICAL GROUP INC NPI 1942471842

NPI Information

PHILLIPP MEDICAL GROUP, INC is an allergy allergy immunology in Glendora, CA. PHILLIPP MEDICAL GROUP, INC NPI is 1942471842. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Phillipp Allergy Medical Group.

The provider's business location address is:

130 W ROUTE 66
SUITE 220
GLENDORA, CA
ZIP 91740-249
Phone: (626) 914-5803
Fax: (626) 963-1569

The provider's authorized official is Juana Constantina Phillipp .
The authorized official title is President and has the following contact phone number (626) 914-5803.

The CLIA number assigned to this NPI record is 05D0563111 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/18/2008 and was last updated on 6/16/2018.

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:

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