Organization
COLUMBIA ASTHMA & ALLERGY CLINIC
Active
Organization
COLUMBIA ASTHMA & ALLERGY CLINIC
Active
Other names
Columbia Asthma and Allergy Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA FLETCHER (SENIOR CREDENTIALING SPECIALIST)
(360) 940-0860
Entity
Organization
Contact information
Practice address
3448 MOWRY AVE, FREMONT, CA 94538
(510) 373-3000
(510) 744-9959
Mailing address
3448 MOWRY AVE, FREMONT, CA 94538-1422
(510) 373-3000
(510) 744-9959
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MD00040042
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50D1045257
CLIA
WA
Enumeration date
01/02/2008
Last updated
07/03/2018
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