Organization
PHILLIPP MEDICAL GROUP, INC
Active
Other names
Phillipp Allergy Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUANA CONSTANTINA PHILLIPP MD (PRESIDENT)
(626) 914-5803
Entity
Organization
Contact information
Practice address
130 W ROUTE 66, SUITE 220, GLENDORA, CA 91740-6249
(626) 914-5803
(626) 963-1569
Mailing address
130 W ROUTE 66, SUITE 220, GLENDORA, CA 91740-6249
(626) 914-5803
(626) 963-1569
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
—
—
Other
Enumeration date
03/18/2008
Last updated
06/16/2018
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