Provider Demographics
NPI:1083133649
Name:ALLERGY ASTHMA CLINIC BURLINGAME, INCORPORATED
Entity Type:Organization
Organization Name:ALLERGY ASTHMA CLINIC BURLINGAME, INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:ENGLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:650-343-4597
Mailing Address - Street 1:290 BALDWIN AVE
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94401-3915
Mailing Address - Country:US
Mailing Address - Phone:650-343-4597
Mailing Address - Fax:640-343-3402
Practice Address - Street 1:1828 EL CAMINO REAL STE 703
Practice Address - Street 2:
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-3122
Practice Address - Country:US
Practice Address - Phone:650-692-1892
Practice Address - Fax:650-692-5493
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-14
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG52230207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty