Healthcare Provider Details

I. General information

NPI: 1578571154
Provider Name (Legal Business Name): WELCH PASTEUR ALLERGY MEDICAL GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 01/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 WELCH RD STE A-2
PALO ALTO CA
94304-1904
US

IV. Provider business mailing address

1101 WELCH RD STE A-2
PALO ALTO CA
94304-1904
US

V. Phone/Fax

Practice location:
  • Phone: 650-322-3847
  • Fax: 650-322-3249
Mailing address:
  • Phone: 650-322-3847
  • Fax: 650-322-3249

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License Number
License Number StateCA

VIII. Authorized Official

Name: ANITA CARMEN CHOY
Title or Position: PRESIDENT
Credential: M.D.
Phone: 650-322-3847