Adult & Child Allergy-Asthma Clinic Inc

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

G51644 Issued in 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

Last updated

Jul 1, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Curtis Wong, M.D.NPI 1104977008

Title

Ceo

Phone

(626) 284-3400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

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.

• Stephen Curtis Wong, M.D.

  • Allergy Physician
  • Hacienda Heights, CA
  • NPI 1104977008

  Allergy & Immunology

  Medicare reassignment NPD Authorized official
• Adrienne Carol Mar Chan, PA-C

  • Physician Assistant
  • Hacienda Heights, CA
  • NPI 1699134098
  NPD (past)
• Marilyn Li, MD

  • Allergy & Immunology Physician
  • Beverly Hills, CA
  • NPI 1528260825
  NPD (past)
• Susana Rangel, FNP-C

  • Family Nurse Practitioner
  • Hacienda Heights, CA
  • NPI 1295121077
  NPD (past)

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

{
    "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": []
}

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• Allergy & Immunology Physician in Hacienda Heights, CA
• Providers in Hacienda Heights, CA by specialty
• Allergy & Immunology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.