Organization
ALLERGY ASTHMA SINUS MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE A. QUEL MD (DIRECTOR)
(310) 823-6766
Entity
Organization
Contact information
Practice address
4644 LINCOLN BLVD STE 410, MARINA DEL REY, CA 90292-6390
(310) 823-6766
(310) 823-6966
Mailing address
4644 LINCOLN BLVD STE 410, MARINA DEL REY, CA 90292-6390
(310) 823-6766
(310) 823-6966
Taxonomy
Speciality
Code
Description
License number
State
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
Primary
—
—
Other
Enumeration date
04/10/2009
Last updated
04/10/2009
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