Active NPI
Allergy Laboratory
- Clinical Medical Laboratory
- Tarzana, CA
National Provider Identifier
1184854119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 05D1084238
- Legal business name
- ALLERGY LABORATORY
- Practice address
- 18607 Ventura Blvd
Suite 111
Tarzana, CA 91356-4159 - Phone
- (818) 345-8499
- Fax
- (818) 345-1156
- NPI assigned
- Jul 24, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rubio Punzalan, M.D. ,
- Title
- President
- Phone
- (818) 345-8499
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 05D1084238 | CA | Primary |
Addresses
Primary practice location
18607 Ventura Blvd
Suite 111
Tarzana, CA 91356-4159
Mailing address
18607 Ventura Blvd
Suite 111
Tarzana, CA 91356-4159
Phone (818) 345-8499
National Provider Directory
National Provider DirectoryLocations
18607 Ventura Blvd
Tarzana, CA 91356
Phone (818) 345-8499
18607 Ventura Blvd
Ste 111
Tarzana, CA 91356
Phone (818) 345-8499
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- San Marino, CA
- NPI 1093937708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248393600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1248393600000",
"number": "1184854119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18607 VENTURA BLVD",
"address_2": "SUITE 111",
"city": "TARZANA",
"state": "CA",
"postal_code": "913564159",
"telephone_number": "818-345-8499",
"fax_number": "818-345-1156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18607 VENTURA BLVD",
"address_2": "SUITE 111",
"city": "TARZANA",
"state": "CA",
"postal_code": "913564159",
"telephone_number": "818-345-8499",
"fax_number": "818-345-1156"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLERGY LABORATORY",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-24",
"last_updated": "2009-07-24",
"status": "A",
"authorized_official_last_name": "PUNZALAN",
"authorized_official_first_name": "RUBIO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-345-8499",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D. ,"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "CA",
"license": "05D1084238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.