Organization
SOUTH BAY ALLERGY & ASTHMA ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD G BUCHBAUM MD (OWNER)
(310) 371-1388
Entity
Organization
Contact information
Practice address
20911 EARL STREET, 301, TORRANCE, CA 90503
(310) 371-1388
(310) 371-3439
Mailing address
20911 EARL STREET, 301, TORRANCE, CA 90503
(310) 371-1388
(310) 371-3439
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0060160
—
CA
Enumeration date
09/14/2006
Last updated
12/06/2011
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