# PREMIUM ALLERGY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Premium Allergy & Respiratory Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578331153
- **Authorized official:** SONYA LEAL (MANAGER)
- **Authorized official phone:** (559) 387-5230

## Contact information

- **Practice address:** 1069 E CHAMPLAIN DR STE A, FRESNO, CA 93720-4223
- **Practice address phone:** (559) 387-5230
- **Practice address fax:** (559) 900-7952
- **Mailing address:** 2021 HERNDON AVE STE 201, CLOVIS, CA 93611-6317
- **Mailing address phone:** (559) 387-5230
- **Mailing address fax:** (559) 900-7952

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | — | NULL | Yes |
| 207K00000X | Allergy & Immunology Physician | — | — | Yes |
| 207KA0200X | Allergy Physician | — | NULL | — |
| 207KA0200X | Allergy Physician | — | — | — |
| 207KI0005X | Clinical & Laboratory Immunology (Allergy & Immunology) Physician | — | NULL | — |
| 207KI0005X | Clinical & Laboratory Immunology (Allergy & Immunology) Physician | — | — | — |
| 207RA0201X | Allergy & Immunology (Internal Medicine) Physician | — | NULL | — |
| 207RA0201X | Allergy & Immunology (Internal Medicine) Physician | — | — | — |
| 2080P0201X | Pediatric Allergy/Immunology Physician | — | NULL | — |
| 2080P0201X | Pediatric Allergy/Immunology Physician | — | — | — |

## Other

- **Enumeration date:** 12/13/2023
- **Last updated:** 02/28/2024