Allergy Pediatrics
Specialist in Huntington Beach, CA. Organization (NPI-2).
NPI number1992830657
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1992830657
- Entity type
- Organization (NPI-2)
- Legal business name
- Allergy Pediatrics
- Organization subpart
- No
- Enumeration date
- Feb 22, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | G18582 | CA | Yes |
Practice location
17822 Beach Blvd373
Huntington Beach, CA 92647-7101
Phone 714-848-0023 · Fax 714-848-6782
Mailing address
17822 Beach Blvd373
Huntington Beach, CA 92647-7101
Phone 714-848-0023 · Fax 714-848-6782
Authorized official
Jay Rothman
President
7148480023
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