Organization
ALLERGY PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY ROTHMAN M.D. (PRESIDENT)
(714) 848-0023
Entity
Organization
Contact information
Practice address
17822 BEACH BLVD, 373, HUNTINGTON BEACH, CA 92647-7101
(714) 848-0023
(714) 848-6782
Mailing address
17822 BEACH BLVD, 373, HUNTINGTON BEACH, CA 92647-7101
(714) 848-0023
(714) 848-6782
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G18582
CA
Other
Enumeration date
02/22/2007
Last updated
08/22/2020
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