Active NPI
Allergy Medical Clinic
- Clinical & Laboratory Immunology (Allergy & Immunology) Physician
- Los Angeles, CA
National Provider Identifier
1639234354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical & Laboratory Immunology (Allergy & Immunology) Physician
- Legal business name
- ALLERGY MEDICAL CLINIC
- Practice address
- 11620 Wilshire Blvd
Suite 200
Los Angeles, CA 90025-1706 - Phone
- (310) 312-5050
- Fax
- (310) 575-9292
- NPI assigned
- Dec 22, 2006
- Last updated
- Aug 22, 2020
- 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
- Joy Vernon
- Title
- Biller
- Phone
- (310) 478-0964
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical & Laboratory Immunology (Allergy & Immunology) Physician | 207KI0005X | CA | Primary |
Addresses
Primary practice location
11620 Wilshire Blvd
Suite 200
Los Angeles, CA 90025-1706
Mailing address
11620 Wilshire Blvd
Suite 200
Los Angeles, CA 90025-1706
Phone (310) 312-5050
National Provider Directory
National Provider DirectoryLocations
10780 Santa Monica Blvd
Ste 280
Los Angeles, CA 90025
Phone (310) 312-5050
11620 Wilshire Blvd
Ste 200
Los Angeles, CA 90025
Phone (310) 312-5050
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical & Laboratory Immunology (Allergy & Immunology) Physician
- Los Angeles, CA
- NPI 1447360086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1639234354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11620 WILSHIRE BLVD",
"address_2": "SUITE 200",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900251706",
"telephone_number": "310-312-5050",
"fax_number": "310-575-9292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11620 WILSHIRE BLVD",
"address_2": "SUITE 200",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900251706",
"telephone_number": "310-312-5050",
"fax_number": "310-575-9292"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLERGY MEDICAL CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "VERNON",
"authorized_official_first_name": "JOY",
"authorized_official_title_or_position": "BILLER",
"authorized_official_telephone_number": "310-478-0964"
},
"taxonomies": [
{
"code": "207KI0005X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Winnie M. Allen, PH.D.
- Allen's Counseling and Consultation
- Allergy and Asthma Associates of Los Angeles Medical Group Inc
- Allergy and Asthma Center Medical Group Inc
- Allergy Asthma Care Center, Inc
- Allermi Medical Associates, PC
- Shauna Lee Allery
- Sandra M Alletto
- Alleviate Care-Los Angeles LLC (Allpoint Hospice)
- Alleviate Pain DME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.