Healthcare Provider Details
I. General information
NPI: 1104111251
Provider Name (Legal Business Name): ALLERGY AND ASTHMA CLINICS OF ORANGE COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/16/2011
Last Update Date: 06/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
14150 CULVER DR STE 302
IRVINE CA
92604-0315
US
IV. Provider business mailing address
14150 CULVER DR STE 302
IRVINE CA
92604-0315
US
V. Phone/Fax
- Phone: 949-551-1001
- Fax: 949-551-1019
- Phone: 949-551-1001
- Fax: 949-551-1019
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207K00000X |
| Taxonomy | Allergy & Immunology Physician |
| License Number | A67106 |
| License Number State | CA |
VIII. Authorized Official
Name: DR.
FRANCIS
YU
Title or Position: OWNER
Credential: M.D.
Phone: 714-726-8891