Organization Active NPI

Allergy Medical Clinic

  • Clinical & Laboratory Immunology (Allergy & Immunology) Physician
  • Los Angeles, CA
National Provider Identifier
1639234354
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical & Laboratory Immunology (Allergy & Immunology) PhysicianTaxonomy code 207KI0005X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.