Organization
ALLERGY, ASTHMA & RESPIRATORY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE BASS (OFFICE MANAGER)
(562) 997-7888
Entity
Organization
Contact information
Practice address
13554 NEWPORT AVE, TUSTIN, CA 92780-3729
(949) 355-1670
(949) 607-5337
Mailing address
2600 REDONDO AVE, STE 400, LONG BEACH, CA 90806-2325
(562) 997-7888
(562) 997-7884
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
G061259
CA
Other
Enumeration date
08/23/2007
Last updated
09/28/2022
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