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Organization

CENTRAL COAST ALLERGY & ASTHMA, A MEDICAL CORPORATION

Active
Other names
Hollister Allergy Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
STEVEN SHERMAN PRAGER M.D. (PRESIDEN)
(831) 637-1689
Entity
Organization

Contact information

Practice address
930B SUNSET DR BLDG 2, HOLLISTER, CA 95023-5603
(831) 637-1689
(831) 637-1680
Mailing address
45 E SAN JOAQUIN ST, SALINAS, CA 93901-2903
(831) 637-1689
(831) 637-1680

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G72539
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0071130
CA
Enumeration date
03/15/2007
Last updated
06/12/2008
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