OrganizationActive
Allergy Medical Clinic
NPI 1639234354 · Clinical & Laboratory Immunology (Allergy & Immunology) Physician · Los Angeles, CA
Provider details
- NPI number
- 1639234354
- Entity type
- Organization
- Primary specialty
- Clinical & Laboratory Immunology (Allergy & Immunology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Joy Vernon, Biller(310) 478-0964
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11620 Wilshire Blvd
Suite 200
Los Angeles, CA 90025-1706
Phone: (310) 312-5050
Fax: (310) 575-9292
Street-level locationGet directions
Mailing address
11620 Wilshire Blvd
Los Angeles, CA 90025-1706
Registry dates
- Enumerated
- 2006-12-22
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.