Organization
INSTITUTE OF INTEGRATIVE IMMUNOLOGY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DMITRIY SUKHOV (OFFICE MANAGER)
(510) 984-6500
Entity
Organization
Contact information
Practice address
2320 WOOLSEY ST, SUITE 314, BERKELEY, CA 94705-1973
(510) 984-6500
(510) 666-0916
Mailing address
2320 WOOLSEY ST, SUITE 314, BERKELEY, CA 94705-1973
(510) 984-6500
(510) 666-0916
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
A83416
CA
Other
Enumeration date
03/14/2017
Last updated
03/14/2017
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