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Organization
ALLERGY AND ASTHMA SPECIALTY CENTER INC
Active
Organization
ALLERGY AND ASTHMA SPECIALTY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA G GIBBS DO (OWNER)
(562) 229-4053
Entity
Organization
Contact information
Practice address
9220 HAVEN AVE, STE 101, RANCHO CUCAMONGA, CA 91730-8551
(909) 944-9058
Mailing address
9220 HAVEN AVE, RANCHO CUCAMONGA, CA 91730-8551
(909) 944-9058
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
20A9958
CA
Other
Enumeration date
11/03/2015
Last updated
04/11/2016
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