Organization
ALLERGY MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOY VERNON (BILLER)
(310) 478-0964
Entity
Organization
Contact information
Practice address
11620 WILSHIRE BLVD, SUITE 200, LOS ANGELES, CA 90025-1706
(310) 312-5050
(310) 575-9292
Mailing address
11620 WILSHIRE BLVD, SUITE 200, LOS ANGELES, CA 90025-1706
(310) 312-5050
(310) 575-9292
Taxonomy
Speciality
Code
Description
License number
State
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
Primary
—
CA
Other
Enumeration date
12/22/2006
Last updated
08/22/2020
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