Allergy and Asthma Center Medical Group Inc

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

G29836 Issued in CA

Legal business name

ALLERGY AND ASTHMA CENTER MEDICAL GROUP INC

Practice address

11645 Wilshire Blvd
Ste 988
Los Angeles, CA 90025-6809

Phone

(310) 820-1561

Fax

(310) 826-0895

NPI assigned

Sep 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Lawrence S Mihalas, MD

Title

Medical Doctor Physician

Phone

(310) 820-1561

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299715200000",
    "number": "1316042161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11645 WILSHIRE BLVD",
            "address_2": "STE 988",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256809",
            "telephone_number": "310-820-1561",
            "fax_number": "310-826-0895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11645 WILSHIRE BLVD",
            "address_2": "STE 988",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256809",
            "telephone_number": "310-820-1561",
            "fax_number": "310-826-0895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY AND ASTHMA CENTER MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2011-03-10",
        "status": "A",
        "authorized_official_last_name": "MIHALAS",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL DOCTOR PHYSICIAN",
        "authorized_official_telephone_number": "310-820-1561",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "CA",
            "license": "G29836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "222793112",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Allergy Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Allergy Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; 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.