Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Allergy Immunology and Asthma Medical Group Inc

Organization Specialist · NPI 1376554824

Allergy Immunology and Asthma Medical Group Inc is a Specialist in Stockton, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4628 Georgetown Pl
Stockton, CA 95207-6204
Phone: (209) 478-6177
Fax: (209) 478-6219
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X (CA)
Non-Pharmacy Dispensing Site Taxonomy 332900000X

Record details

NPI number1376554824
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leo Agbulos — Manager · (209) 951-5353
NPI enumeratedAugust 10, 2006
Last updated in NPPESJanuary 9, 2026
Certification dateJanuary 9, 2026
Mailing address4628 Georgetown Pl, Stockton, CA 95207-6204

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