Organization
CALIFORNIA ALLERGY & ASTHMA MEDICAL GROUP INC
Active
Other names
California Allergy & Asthma Medical Group INC
Organization subpart
No
Provider details
NPI number
Authorized official
SHELDON SPECTOR MD (DIRECTOR)
31096690022
Entity
Organization
Contact information
Practice address
11645 WILSHIRE BLVD, SUITE 1155, LOS ANGELES, CA 90025-1708
(310) 966-9022
(310) 966-9042
Mailing address
11645 WILSHIRE BLVD, SUITE 1155, LOS ANGELES, CA 90025-1708
(310) 966-9022
(310) 966-9042
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
W14483
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W14483
LICENSE
CA
Enumeration date
12/12/2006
Last updated
06/10/2015
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