Allergy Immunology And Asthma Medical Group Inc.
Specialist
4628 Georgetown Pl, Stockton
California, 95207-6204
209-478-6177 209-478-6219
Allergy Immunology And Asthma Medical Group Inc. is a Specialist in Stockton, California. It is located at 4628 Georgetown Pl, Stockton and it's customer support contact number is 209-478-6177. The authorized person of Allergy Immunology And Asthma Medical Group Inc. is Leo F Agbulos who is Manager of the pharmacy and his contact number is 209-951-5353. Allergy Immunology And Asthma Medical Group Inc. accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Allergy Immunology And Asthma Medical Group Inc. is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Pharmacy Details:
Allergy Immunology And Asthma Medical Group Inc. type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Allergy Immunology And Asthma Medical Group Inc. |
| Type: | Specialist |
| Location: | 4628 Georgetown Pl, Stockton,
California, 95207-6204 |
| Phone: | 209-478-6177 |
| Fax: | 209-478-6219 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Leo F Agbulos |
| Position: | Manager |
| Contact Number: | 209-951-5353 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1376554824 |
| NPI Enumeration Date: | 10 Aug, 2006 |
| NPI Last Update On: | 09 Jan, 2026 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Allergy Immunology And Asthma Medical Group Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Specialist | | California | Primary | |
| Non-pharmacy Dispensing Site | | | Secondary | |
Medicare Enrollment:
Allergy Immunology And Asthma Medical Group Inc. is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 7618041922 | O20080805000534 | Allergy Immunology And Asthma Medical Group Inc | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 4628 Georgetown Pl,
Stockton, California |
| Zip: | 95207-6204 |
| Phone Number: | 209-478-6177 |
| Fax Number: | 209-478-6219 |
Patients can reach Allergy Immunology And Asthma Medical Group Inc. at
4628 Georgetown Pl, Stockton, California or can
call on customer care at 209-478-6177.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.