Organization
NORTH BAY ALLERGY AND ASTHMA
Active
Other names
North Bay Allergy and Asthma Associates Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
SAM S AHN MD (OWNER)
(707) 258-8100
Entity
Organization
Contact information
Practice address
1100 PEAR TREE LANE, NAPA, CA 94558
(707) 258-8100
(707) 258-0734
Mailing address
1100 PEAR TREE LN, NAPA, CA 94558-6446
(707) 258-8100
(707) 258-0734
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0092660
—
CA
01
—
ZZZ06909Z
MEDICARE (PTAN)
CA
01
—
ZZZ07211Z
MEDICARE (PTAN)
CA
01
—
ZZZ51159Y
BLUESHIELD
CA
01
—
ZZZ51160Y
BLUE SHIELD
CA
Enumeration date
08/24/2006
Last updated
04/05/2021
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