Organization Active NPI

Allergy Associates of Orange County, Inc.

  • Medical Specialty Clinic/Center
  • Yorba Linda, CA
National Provider Identifier
1902065220
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
A68359 Issued in CA
Legal business name
ALLERGY ASSOCIATES OF ORANGE COUNTY, INC.
Practice address
19871 Yorba Linda Blvd
Suite 104
Yorba Linda, CA 92886-2811
Phone
(714) 777-8845
Fax
(714) 777-8856
NPI assigned
Jun 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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

Authorized official

Name
Dr. Hae Young Aaron Song, M.D.NPI 1831181569
Title
Owner
Phone
(714) 310-7781

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X A68359 CA Primary

Addresses

Primary practice location

19871 Yorba Linda Blvd
Suite 104
Yorba Linda, CA 92886-2811

Mailing address

14 Ingleside
Irvine, CA 92620-2890
Phone (714) 310-7781

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081202000274 CA Part B Supplier - Clinic/Group Practice 1850452418 Receives reassigned benefits from 1 practitioner
Practice locations: Yorba Linda, CA

National Provider Directory

National Provider Directory

Locations

18340 Yorba Linda Blvd
Ste 101
Yorba Linda, CA 92886
Phone (714) 777-8845

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1902065220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 INGLESIDE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926202890",
            "telephone_number": "714-310-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19871 YORBA LINDA BLVD",
            "address_2": "SUITE 104",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928862811",
            "telephone_number": "714-777-8845",
            "fax_number": "714-777-8856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY ASSOCIATES OF ORANGE COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "HAE YOUNG",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-310-7781",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A68359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorba Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.