# ALLERGY ASSOCIATES MEDICAL GROUP INC

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

## Provider details

- **NPI number:** 1134333073
- **Authorized official:** DR. BRUCE M PRENNER MD (PRESIDENT)
- **Authorized official phone:** (619) 286-6687

## Contact information

- **Practice address:** 6386 ALVARADO COURT, SUITE 210, SAN DIEGO, CA 92120-4907
- **Practice address phone:** (619) 286-6687
- **Practice address fax:** (619) 286-6695
- **Mailing address:** 6386 ALVARADO COURT, SUITE 210, SAN DIEGO, CA 92120-4907
- **Mailing address phone:** (619) 286-6687
- **Mailing address fax:** (619) 286-6695

## Taxonomy

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

## Other

- **Enumeration date:** 05/10/2007
- **Last updated:** 01/11/2011