Phillipp Medical Group, Inc

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

Legal business name

PHILLIPP MEDICAL GROUP, INC

Doing business as

Phillipp Allergy Medical Group

Practice address

130 W Route 66
Suite 220
Glendora, CA 91740-6249

Phone

(626) 914-5803

Fax

(626) 963-1569

NPI assigned

Mar 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Juana Constantina Phillipp, MD

Title

President

Phone

(626) 914-5803

Specialties & licenses 1

Addresses

Other names 1

• Phillipp Allergy Medical Group Doing business as

Locations

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1942471842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W ROUTE 66",
            "address_2": "SUITE 220",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917406249",
            "telephone_number": "626-914-5803",
            "fax_number": "626-963-1569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W ROUTE 66",
            "address_2": "SUITE 220",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917406249",
            "telephone_number": "626-914-5803",
            "fax_number": "626-963-1569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIPP MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "PHILLIPP",
        "authorized_official_first_name": "JUANA",
        "authorized_official_middle_name": "CONSTANTINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-914-5803",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phillipp Allergy Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas C Petersen, PH.D. MFT
• Letrice Pettway
• Derrick Thanh Pham, PHARM. D
• Kimberly Pham, PA-C
• Melissa Philipson
• John Terence Phillipp, MD
• Juana Constantina Phillipp, M.D.
• Piece It Together
• Veronica Pina, FNP
• Elizabeth Ann Pioli

• Allergy Physician in Glendora, CA
• Providers in Glendora, CA by specialty
• Allergy Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.