# CLINICAL IMMUNOLOGY AND IGE MEDICAL INC.

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

## Provider details

- **NPI number:** 1114190584
- **Authorized official:** DR. CATHY WEISS GREEN M.D. (OWNER)
- **Authorized official phone:** (310) 828-7978

## Contact information

- **Practice address:** 11645 WILSHIRE BLVD, SUITE 1150, LOS ANGELES, CA 90025-1708
- **Practice address phone:** (310) 828-7978
- **Practice address fax:** (310) 909-1911
- **Mailing address:** 11645 WILSHIRE BLVD, SUITE 1150, LOS ANGELES, CA 90025-1708
- **Mailing address phone:** (310) 828-7978
- **Mailing address fax:** (310) 909-1911

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | G70424 | CA | Yes |

## Other

- **Enumeration date:** 04/08/2008
- **Last updated:** 04/08/2008
