Organization
ALLERGY ASTHMA AND IMMUNOLOGY CARE SPECIALIST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILOU LORETO (BILLING MANAGER)
(310) 559-8276
Entity
Organization
Contact information
Practice address
23838 VALENCIA BLVD, #200, VALENCIA, CA 91355-5319
(310) 559-8276
(310) 559-8284
Mailing address
23838 VALENCIA BLVD, #200, VALENCIA, CA 91355-5319
(310) 559-8276
(310) 559-8284
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
A52285
CA
Other
Enumeration date
01/09/2008
Last updated
01/09/2008
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