Organization
COASTAL ALLERGY CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEWIS KANTER MD (PRESIDENT)
(805) 482-8989
Entity
Organization
Contact information
Practice address
2412 N PONDEROSA DR STE B111, CAMARILLO, CA 93010-2379
(805) 482-8989
(805) 987-2855
Mailing address
2412 N PONDEROSA DR STE B111, CAMARILLO, CA 93010-2379
(805) 482-8989
(805) 987-2855
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A74064
CA
174400000X
Specialist
Primary
G34328
CA
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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