| Doctor Name: | DR. JUANA CONSTANTINA PHILLIPP |
| NPI Number: | 1043358104 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | A33955 |
| Business Practice Address: | 130 W Route 66 Suite #220 Glendora, CA - 917406249 |
| Business Phone Number: | 6269145803 |
| Business Fax Number: | |
| Mailing Address: | 130 W Route 66, Suite #220 GLENDORA |
| State: | CA |
| Postal Code: | 917406249 |
| Phone Number: | 6269145803 |
| Fax Number: | |
| NPI Enumeration Date: | 02/01/2007 |
| NPI Last Update Date: | 06/10/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207KA0200X |
| License Number: | A33955 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Allergy & Immunology |
| Taxonomy Specialization: | Allergy |
| Taxonomy Definition: | |