ALLERGY & IMMUNOLOGY CLINIC OF EAST BAY
NPI 1205159258
Clinic/Center - Medical Specialty in Berkeley, CA
- Organization
- Clinic/Center
- Medical Specialty
About ALLERGY & IMMUNOLOGY CLINIC OF EAST BAY
This page provides the complete NPI Profile along with additional information for Allergy & Immunology Clinic Of East Bay, a provider established in Berkeley, California operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1205159258 assigned on March 2010. The practitioner's primary taxonomy code is 261QM2500X with license number A83416 (CA). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Dmitriy Sukhov (General Manager)
- NPI
- 1205159258 Verify this NPI
- Provider Name
- ALLERGY & IMMUNOLOGY CLINIC OF EAST BAY
- Entity Type
- Organization
- Location Address
- 2320 WOOLSEY ST STE 314 BERKELEY, CA 94705
- Location Phone
- (925) 270-5113
- Location Fax
- (925) 962-9955
- Mailing Address
- 111 CALLE LA MONTANA MORAGA, CA 94556
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-04-2010
- Last Update Date
- 03-04-2010
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Medical Specialty
- Taxonomy Code
- 261QM2500X
- Type
- Ambulatory Health Care Facilities
- License No.
- A83416
- License State
- CA
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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Other Providers at the Same Location
The following 17 providers are registered at the same or a nearby location.
BERKELEY, CA 94705
BERKELEY, CA 94705
BERKELEY, CA 94705
BERKELEY, CA 94705
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205159258, enumerated as an "organization" on March 04, 2010.
The provider is located at 2320 WOOLSEY ST STE 314 BERKELEY, CA 94705 and the phone number is (925) 270-5113.
Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.
