ALLERGY IMMUNOLOGY AND ASTHMA MEDICAL GROUP INC. - NPI 1376554824

Q: What is Allergy Immunology And Asthma Medical Group Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

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About Allergy Immunology And Asthma Medical Group Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALLERGY IMMUNOLOGY AND ASTHMA MEDICAL GROUP INC. (NPI 1376554824) is a healthcare organization registered as a specialist in Stockton, California and active in the NPI registry since August 2006. The organization lists Leo F Agbulos, Manager, as its authorized official.

NPPES Registry Identity

NPI1376554824

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameALLERGY IMMUNOLOGY AND ASTHMA MEDICAL GROUP INC.

Location Address4628 GEORGETOWN PLStockton, CA 95207-6204

Mailing Address4628 Georgetown PlStockton, CA 95207-6204 · (209) 478-6177 · Fax (209) 478-6219

Phone(209) 478-6177

Fax(209) 478-6219

Organization SubpartNo

Authorized OfficialLeo F AgbulosManager · (209) 951-5353

Enumeration DateAugust 10, 2006

Last NPPES UpdateJanuary 9, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 9, 2026

✔ NPI 1376554824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Also ListedNon-Pharmacy Dispensing SiteTaxonomy 332900000X

4628 GEORGETOWN PL, Stockton, CA 95207

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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JEFFREY DANIEL BALDUZZI M.D.

Allergy & Immunology (Allergy)