# ALLERGY & IMMUNOLOGY CLINIC OF EAST BAY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1205159258
- **Authorized official:** DMITRIY SUKHOV (GENERAL MANAGER)
- **Authorized official phone:** (925) 270-5119

## Contact information

- **Practice address:** 2320 WOOLSEY ST, STE 314, BERKELEY, CA 94705-1973
- **Practice address phone:** (925) 270-5113
- **Practice address fax:** (925) 962-9955
- **Mailing address:** 111 CALLE LA MONTANA, MORAGA, CA 94556-1607

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A83416 | CA | Yes |

## Other

- **Enumeration date:** 03/04/2010
- **Last updated:** 03/04/2010