BEACH ALLERGY & ASTHMA SPECIALTY GROUP
Allergy and Immunology
Long Beach, California
Provider NPI: 1902873060
Organization Information:Organization Name: BEACH ALLERGY & ASTHMA SPECIALTY GROUP
Practice Location:
3816 WOODRUFF AVE SUITE 209 LONG BEACH, CA 90808 US
Tel: 562-496-4749 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
3816 WOODRUFF AVE SUITE 209 LONG BEACH, CA 90808 US
Tel: 562-496-4749 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207K00000X | Physicians Allergy & Immunology |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| BLUE SHIELD | ZZZ22603Z | CA | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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