ALLERGY MEDICAL GROUP OF THE NORTH AREA INC.
Allergy and Immunology
Roseville, California
Provider NPI: 1083612980
Organization Information:Organization Name: ALLERGY MEDICAL GROUP OF THE NORTH AREA INC.
Practice Location:
935 RESERVE DR ROSEVILLE, CA 95678 US
Tel: 916-782-7758 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:
935 RESERVE DR ROSEVILLE, CA 95678 US
Tel: 916-782-7758 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207K00000X | Physicians Allergy & Immunology | CA |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| NONE | 00A305380 | CA | 01 |
| ZZZ76738Z | CA | 05 |
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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