MEDICARE: ALLERGY ASTHMA & RESPIRATORY CARE CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207K00000X	Allergy & Immunology Physician

General Provider Information

NPI Number	:	1497719447
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLERGY ASTHMA & RESPIRATORY CARE CENTER

Provider Business Mailing Address
First Line	:	2220 CLARK AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90815-2521
Country	:	US
Telephone Number	:	562-997-7888
Fax Number	:	562-684-4899

Provider Business Practice Location Address
First Line	:	2600 REDONDO AVE
Second Line	:	SUITE 400
City	:	LONG BEACH
State	:	CA
Zip	:	90806-2329
Country	:	US
Telephone Number	:	562-997-7888
Fax Number	:	562-997-8884

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	JOSE L ARRAIGA
Credential	:
Telephone Number	:	562-997-7888

Provider Enumeration Date	:	04/14/2006
Last Update Date	:	12/22/2022

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