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General NPI Number Information
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NPI Number | 1770539041
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE ALLERGY SERVICE MEDICAL CLINIC INC
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 1895 MOWRY AVE STE 118B
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City | FREMONT
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State | CA
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Zip | 94538-1737
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Country | US
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Telephone | 510-200-0445
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Fax | 844-898-6129
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Provider Business Mailing Address
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Address Line | 43575 MISSION BLVD STE 716
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City | FREMONT
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State | CA
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Zip | 94539-5831
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Country | US
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Telephone | 510-200-0445
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Fax | 844-898-6129
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Authorized Official
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Title or Position | CEO/OWNER
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Name | DR. SANJEEV JAIN
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Credential | MD
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Telephone | 408-476-0624
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number |
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License Number State |
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