Organization Name: | ALLERGY CARE CENTER A MEDICAL CORPORATION |
NPI Number: | 1396781894 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LEWIS J KANTER (PRESIDENT) |
Mailing Address: | 2412 N Ponderosa Dr Suite B111 Camarillo |
State: | CA US |
Postal Code: | 930102373 |
Phone Number: | 8054828989 |
Fax Number: | 8059872855 |
NPI Enumeration Date: | 06/22/2006 |
NPI Last Update Date: | 12/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | G34328 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |