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CALIFORNIA ALLERGY & ASTHMA MEDICAL GROUP INC NPI 1992866230


NPI Information

NPI: 1992866230
Provider Name: CALIFORNIA ALLERGY & ASTHMA MEDICAL GROUP INC

Doing Business As: CALIFORNIA ALLERGY & ASTHMA MEDICAL GROUP INC

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

CLIA Number: 05D0957775

Address:
11645 WILSHIRE BLVD
SUITE 1155
LOS ANGELES, CA
ZIP 90025
Phone: (310) 966-9022
Get Directions

CALIFORNIA ALLERGY & ASTHMA MEDICAL GROUP INC is an allergy immunology in Los Angeles, 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. CALIFORNIA ALLERGY & ASTHMA MEDICAL GROUP INC NPI is 1992866230. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As California Allergy & Asthma Medical Group Inc.

The provider's business location address is:

11645 WILSHIRE BLVD
SUITE 1155
LOS ANGELES, CA
ZIP 90025-708
Phone: (310) 966-9022
Fax: (310) 966-9042

The provider's authorized official is Sheldon Spector .
The authorized official title is Director and has the following contact phone number 31096690022.

The CLIA number assigned to this NPI record is 05D0957775 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/12/2006 and was last updated on 6/10/2015.


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 & ImmunologyW14483CALIFORNIAYes

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
1W14483OTHERCALIFORNIALICENSE

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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