Allergy Abatement and Relief Medical Group

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

G17688 Issued in CA

Legal business name

ALLERGY ABATEMENT AND RELIEF MEDICAL GROUP

Practice address

4005 Caminito Terviso
San Diego, CA 92122-1991

Phone

(858) 337-6160

Fax

(858) 546-8078

NPI assigned

Sep 6, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Martin Harold Lizerbram, MD

Title

President

Phone

(858) 337-6160

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473120000000",
    "number": "1093262255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 CAMINITO TERVISO",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221991",
            "telephone_number": "858-337-6160",
            "fax_number": "858-546-8078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 CAMINITO TERVISO",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221991",
            "telephone_number": "858-337-6160",
            "fax_number": "858-546-8078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY ABATEMENT AND RELIEF MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-06",
        "last_updated": "2016-09-06",
        "status": "A",
        "authorized_official_last_name": "LIZERBRAM",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "HAROLD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-337-6160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "G17688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.