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Contact Information

PREMIUM ALLERGY
1069 E CHAMPLAIN DR STE A
FRESNO, CA93720-4223
 Phone: 559-387-5230
 Fax: 559-900-7952
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Allergy & Immunology

207K00000X 03 Physician/Allergy/ Immunology
 

Allergy

207KA0200X 03 Physician/Allergy/ Immunology
 

Allergy & Immunology

207RA0201X 11 Physician/Internal Medicine
 

Clinical & Laboratory Immunology

207KI0005X 03 Physician/Allergy/ Immunology
 

Pediatric Allergy/Immunology

2080P0201X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PREMIUM ALLERGY · (Female)

NPI Number 1578331153
Status Active
Credentials
Entity Individual
Enumeration date 12/13/2023
Last updated 02/28/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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