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Organization
CLINICAL IMMUNOLOGY AND IGE MEDICAL INC.
Active
Organization
CLINICAL IMMUNOLOGY AND IGE MEDICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CATHY WEISS GREEN M.D. (OWNER)
(310) 828-7978
Entity
Organization
Contact information
Practice address
11645 WILSHIRE BLVD, SUITE 1150, LOS ANGELES, CA 90025-1708
(310) 828-7978
(310) 909-1911
Mailing address
11645 WILSHIRE BLVD, SUITE 1150, LOS ANGELES, CA 90025-1708
(310) 828-7978
(310) 909-1911
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
G70424
CA
Other
Enumeration date
04/08/2008
Last updated
04/08/2008
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