Organization
ALLERGY IMMUNOLOGY AND ASTHMA MEDICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEO F AGBULOS (MANAGER)
(209) 951-5353
Entity
Organization
Contact information
Practice address
4628 GEORGETOWN PL, STOCKTON, CA 95207-6204
(209) 478-6177
(209) 478-6219
Mailing address
4628 GEORGETOWN PL, STOCKTON, CA 95207-6204
(209) 478-6177
(209) 478-6219
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
CA
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Enumeration date
08/10/2006
Last updated
01/09/2026
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