OrganizationActive
Allergy Immunology and Asthma Medical Group Inc.
NPI 1962369348 · Non-Pharmacy Dispensing Site · Stockton, CA
Provider details
- NPI number
- 1962369348
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Authorized official
- Leo Agbulos, Manager
Practice location
4628 Georgetown Pl
Stockton, CA 95207-6204
Phone: (209) 951-5353
Fax: (209) 951-5369
Mailing address
4628 Georgetown Pl
Stockton, CA 95207-6204
Registry dates
- Enumerated
- 2026-01-07
- Last updated
- 2026-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.