Healthcare Provider Details

I. General information

NPI: 1245256049
Provider Name (Legal Business Name): ALLERGY, SINUS & ASTHMA CONSULTANTS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2006
Last Update Date: 02/02/2023
Certification Date: 02/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1282 W ARROW HWY STE 100
UPLAND CA
91786-5040
US

IV. Provider business mailing address

1282 W ARROW HWY STE 100
UPLAND CA
91786-5040
US

V. Phone/Fax

Practice location:
  • Phone: 909-931-4034
  • Fax: 909-931-2477
Mailing address:
  • Phone: 909-931-4034
  • Fax: 909-931-2477

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SUE A PATEL
Title or Position: ADMINISTRATIOR
Credential:
Phone: 909-931-4034