Healthcare Provider Details

I. General information

NPI: 1205718731
Provider Name (Legal Business Name): CALIFORNIA COMPREHENSIVE ALLERGY AND FOOD INSTITUTE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2025
Last Update Date: 07/30/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44045 MARGARITA RD STE 103
TEMECULA CA
92592-2729
US

IV. Provider business mailing address

17989 PUEBLO VISTA LN
SAN DIEGO CA
92127-1279
US

V. Phone/Fax

Practice location:
  • Phone: 949-412-0030
  • Fax: 877-497-6008
Mailing address:
  • Phone: 949-412-0030
  • Fax: 877-497-6008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: NARGES BALUCH
Title or Position: OWNER
Credential: MD
Phone: 858-309-6300