National Provider Identifier Database

ALLERGY IMMUNOLOGY AND ASTHMA MEDICAL GROUP INC
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

ALLERGY IMMUNOLOGY AND ASTHMA MEDICAL GROUP INC.
4628 GEORGETOWN PL
STOCKTON, CA95207-6204
Phone: 209-478-6177
Fax: 209-478-6219
Website:
Specialty Taxonomy Code
* Specialist 174400000X
Non-Pharmacy Dispensing Site 332900000X

* Indicates primary specialty

NPI Profile & details for ALLERGY IMMUNOLOGY AND ASTHMA MEDICAL GROUP INC.

NPI Number 1376554824
Legal business name
LBN
ALLERGY IMMUNOLOGY AND ASTHMA MEDICAL GROUP INC.
Authorized official LEO AGBULOS - (MANAGER)
Entity Organization
Organization subpart No
Enumeration date 08/10/2006
Last updated 01/09/2026 - About 5 months ago
Sole proprietor1 Not specified
Identifiers n/a

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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