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Contact Information

ALLERGY MEDICAL GROUP, INC.
400 NEWPORT CENTER DR
SUITE 401
NEWPORT BEACH, CA92660-7601
 Phone: 949-644-9424
 Fax: 949-644-1424
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Allergy & Immunology

207RA0201X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ALLERGY MEDICAL GROUP INC · (Female)

NPI Number 1720289788
Status Active
Credentials
Entity Individual
Enumeration date 05/29/2007
Last updated 05/19/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # W080
  • CA Medicaid ZZZ70106Z
  • CA Other ZZZ70106Z BLUE SHIELD
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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