Organization
CLINICAL IMMUNOLOGY AND IGE MEDICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CATHY WEISS GREEN M.D. (OWNER)
(310) 828-7978
Entity
Organization
Contact information
Practice address
11645 WILSHIRE BLVD, SUITE 1150, LOS ANGELES, CA 90025-1708
(310) 828-7978
(310) 909-1911
Mailing address
11645 WILSHIRE BLVD, SUITE 1150, LOS ANGELES, CA 90025-1708
(310) 828-7978
(310) 909-1911
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
G70424
CA
Other
Enumeration date
04/08/2008
Last updated
04/08/2008
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