Provider Demographics
NPI:1003828948
Name:BISHOP PEDIATRICS AND ALLERGY
Entity Type:Organization
Organization Name:BISHOP PEDIATRICS AND ALLERGY
Other - Org Name:CLIFFORD BECK, M.D. & ALICE CASEY, M.D.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLOTTE
Authorized Official - Middle Name:
Authorized Official - Last Name:HELVIE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-873-6373
Mailing Address - Street 1:PO BOX 34120
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89533-4120
Mailing Address - Country:US
Mailing Address - Phone:760-873-6373
Mailing Address - Fax:760-873-3266
Practice Address - Street 1:152 PIONEER LN STE H
Practice Address - Street 2:
Practice Address - City:BISHOP
Practice Address - State:CA
Practice Address - Zip Code:93514-2563
Practice Address - Country:US
Practice Address - Phone:760-873-6373
Practice Address - Fax:760-873-3266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-12
Last Update Date:2014-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA87382080P0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0201XAllopathic & Osteopathic PhysiciansPediatricsPediatric Allergy/ImmunologyGroup - Multi-Specialty