California Allergy & Asthma Medical Group Inc

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

W14483 Issued in CA

Legal business name

CALIFORNIA ALLERGY & ASTHMA MEDICAL GROUP INC

Practice address

11645 Wilshire Blvd
Suite 1155
Los Angeles, CA 90025-1708

Phone

(310) 966-9022

Fax

(310) 966-9042

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Sheldon Spector, MD

Title

Director

Phone

31096690022

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• California Allergy & Asthma Medical Group INC Doing business as

Locations

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433894400000",
    "number": "1992866230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11645 WILSHIRE BLVD",
            "address_2": "SUITE 1155",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251708",
            "telephone_number": "310-966-9022",
            "fax_number": "310-966-9042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11645 WILSHIRE BLVD",
            "address_2": "SUITE 1155",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251708",
            "telephone_number": "310-966-9022",
            "fax_number": "310-966-9042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA ALLERGY & ASTHMA MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2015-06-10",
        "status": "A",
        "authorized_official_last_name": "SPECTOR",
        "authorized_official_first_name": "SHELDON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "31096690022",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "W14483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "W14483",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Allergy & Asthma Medical Group INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Allergy & Immunology Physician in Los Angeles, CA
• Providers in Los Angeles, 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 Jun 10, 2015; 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.