Adult & Child Allergy-Asthma Clinic Inc

Organization Active NPI Allergy & Immunology Physician · Hacienda Heights, CA

NPI 1801909668 · NPPES record last updated Jul 1, 2014

Key facts

NPI
1801909668
Entity type
Organization (NPI type 2)
Primary specialty
Allergy & Immunology Physician 207K00000X
License
G51644 (CA)
Legal business name
ADULT & CHILD ALLERGY-ASTHMA CLINIC INC
Practice address
1850 S Azusa Ave Ste 206
Hacienda Heights, CA 91745-6853
Phone
(626) 810-5450
NPI assigned
Aug 16, 2006
Organization subpart
No

Authorized official

Name
Dr. Stephen Curtis Wong, M.D. NPI 1104977008
Title
Ceo
Phone
(626) 284-3400

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20091207000082 CA Part B Supplier - Clinic/Group Practice 6507905460 Receives reassigned benefits from 1 practitioner
Practice locations: Alhambra, CA; Hacienda Heights, CA

National Provider Directory

Locations

330 S Garfield Ave
Alhambra, CA 91801
Phone (626) 281-3265

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207K00000X G51644 CA Yes

Addresses

Primary practice location

1850 S Azusa Ave Ste 206
Hacienda Heights, CA 91745-6853

Mailing address

1850 S Azusa Ave Ste 206
Hacienda Heights, CA 91745-6853
Phone (626) 810-5450

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 1, 2014.

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404172800000",
    "number": "1801909668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 S AZUSA AVE STE 206",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456853",
            "telephone_number": "626-810-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 S AZUSA AVE STE 206",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456853",
            "telephone_number": "626-810-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT & CHILD ALLERGY-ASTHMA CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2014-07-01",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "CURTIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-284-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "G51644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hacienda Heights, CA

All providers in Hacienda Heights, CA · Allergy & Immunology Physician in California

Sources for this page

Verify at the official NPI Registry.