Organization
ALLERGY AND IMMUNOLOGY CLINIC OF EAST BAY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DMITRIY SUKHOV (BUSINESS MANAGER)
(925) 270-5119
Entity
Organization
Contact information
Practice address
2320 WOOLSEY ST, STE 314, BERKELEY, CA 94705-1973
(925) 270-5119
Mailing address
2320 WOOLSEY ST, STE 314, BERKELEY, CA 94705-1973
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
A83416
CA
Other
Enumeration date
04/13/2010
Last updated
06/23/2010
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