| NPI | 1518836444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN DAVID MODENA CEO & Director 858-260-2977 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology |
| Additional Taxonomies | 2080P0201X Pediatrics, Pediatric Allergy/Immunology |
| 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology | |
| 207KA0200X Allergy & Immunology, Allergy | |
| 207RA0201X Internal Medicine, Allergy & Immunology | |
| Enumeration Date | 2025-10-30 |
| Last Update Date | 2025-12-03 |