# ALLERGY AND IMMUNOLOGY CLINIC OF EAST BAY INC

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

## Provider details

- **NPI number:** 1477879609
- **Authorized official:** DMITRIY SUKHOV (BUSINESS MANAGER)
- **Authorized official phone:** (925) 270-5119

## Contact information

- **Practice address:** 2320 WOOLSEY ST, STE 314, BERKELEY, CA 94705-1973
- **Practice address phone:** (925) 270-5119
- **Mailing address:** 2320 WOOLSEY ST, STE 314, BERKELEY, CA 94705-1973

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | A83416 | CA | Yes |

## Other

- **Enumeration date:** 04/13/2010
- **Last updated:** 06/23/2010