OrganizationActive
Allergy and Immunology Clinic of East Bay Inc
NPI 1477879609 · Allergy & Immunology Physician · Berkeley, CA
Provider details
- NPI number
- 1477879609
- Entity type
- Organization
- Primary specialty
- Allergy & Immunology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Dmitriy Sukhov, Business Manager
- License
- A83416 (CA)
Practice location
2320 Woolsey St
Ste 314
Berkeley, CA 94705-1973
Phone: (925) 270-5119
Mailing address
2320 Woolsey St
Berkeley, CA 94705-1973
Registry dates
- Enumerated
- 2010-04-13
- Last updated
- 2010-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.