OrganizationActive
Allergy & Immunology Clinic of East Bay
NPI 1205159258 · Medical Specialty Clinic/Center · Berkeley, CA
Provider details
- NPI number
- 1205159258
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Dmitriy Sukhov, General Manager(925) 270-5119
- License
- A83416 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2320 Woolsey St
Ste 314
Berkeley, CA 94705-1973
Phone: (925) 270-5113
Fax: (925) 962-9955
Approximate (ZIP-level) locationGet directions
Mailing address
111 Calle La Montana
Moraga, CA 94556-1607
Registry dates
- Enumerated
- 2010-03-04
- Last updated
- 2010-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.