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Organization

ALLERGY ASSOCIATES MEDICAL GROUP INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRUCE M PRENNER MD (PRESIDENT)
(619) 286-6687
Entity
Organization

Contact information

Practice address
6386 ALVARADO COURT, SUITE 210, SAN DIEGO, CA 92120-4907
(619) 286-6687
(619) 286-6695
Mailing address
6386 ALVARADO COURT, SUITE 210, SAN DIEGO, CA 92120-4907
(619) 286-6687
(619) 286-6695

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0062190
CA
Enumeration date
05/10/2007
Last updated
01/11/2011
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