# ALLERGY ASTHMA AND IMMUNOLOGY CARE SPECIALIST INC

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

## Provider details

- **NPI number:** 1306021225
- **Authorized official:** MARILOU LORETO (BILLING MANAGER)
- **Authorized official phone:** (310) 559-8276

## Contact information

- **Practice address:** 23838 VALENCIA BLVD, \#200, VALENCIA, CA 91355-5319
- **Practice address phone:** (310) 559-8276
- **Practice address fax:** (310) 559-8284
- **Mailing address:** 23838 VALENCIA BLVD, \#200, VALENCIA, CA 91355-5319
- **Mailing address phone:** (310) 559-8276
- **Mailing address fax:** (310) 559-8284

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | A52285 | CA | Yes |

## Other

- **Enumeration date:** 01/09/2008
- **Last updated:** 01/09/2008