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Organization
ALLERGY ASTHMA AND IMMUNOLOGY CARE SPECIALIST INC
Active
Organization
ALLERGY ASTHMA AND IMMUNOLOGY CARE SPECIALIST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILOU LORETO (BILLING MANAGER)
(310) 559-8276
Entity
Organization
Contact information
Practice address
23838 VALENCIA BLVD, #200, VALENCIA, CA 91355-5319
(310) 559-8276
(310) 559-8284
Mailing address
23838 VALENCIA BLVD, #200, VALENCIA, CA 91355-5319
(310) 559-8276
(310) 559-8284
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
A52285
CA
Other
Enumeration date
01/09/2008
Last updated
01/09/2008
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