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Organization
ALLERGY MEDICAL GROUP OF THE NORTH AREA INC.
Active
Organization
ALLERGY MEDICAL GROUP OF THE NORTH AREA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUNIL PUSHPAKUMARA PERERA MD (CEO OWNER)
(916) 782-7758
Entity
Organization
Contact information
Practice address
935 RESERVE DR, ROSEVILLE, CA 95678-1340
(916) 782-7758
(916) 782-7770
Mailing address
935 RESERVE DR, ROSEVILLE, CA 95678-1340
(916) 782-7758
(916) 782-7770
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
CA
Other
Enumeration date
07/13/2005
Last updated
04/05/2018
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