# BERNARD GELLER M D ALLERGY & CLINICAL IMMUNOLOGY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093891863
- **Authorized official:** DR. BERNARD DAVID GELLER M.D., PH.D. (OWNER)
- **Authorized official phone:** (310) 828-8534

## Contact information

- **Practice address:** 1301 20TH ST, SUITE 220, SANTA MONICA, CA 90404-2050
- **Practice address phone:** (310) 828-8534
- **Practice address fax:** (310) 453-8468
- **Mailing address:** 1301 20TH STREET, SUITE 220, SANTA MONICA, CA 90404-2080
- **Mailing address phone:** (310) 828-8534
- **Mailing address fax:** (310) 453-8468

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | — | NULL | Yes |
| 207K00000X | Allergy & Immunology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/27/2006
- **Last updated:** 06/12/2008