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

Clinical Immunology and Ige Medical Inc

Organization Allergy & Immunology Physician · NPI 1114190584

Clinical Immunology and Ige Medical Inc is an Allergy & Immunology Physician in Los Angeles, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
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

11645 Wilshire Blvd Ste 1150
Los Angeles, CA 90025-1708
Phone: (310) 828-7978
Fax: (310) 909-1911
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Allergy & Immunology Physician (primary) Taxonomy 207K00000X · Licence G70424 (CA)

Record details

NPI number1114190584
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cathy Green — Owner · (310) 828-7978
NPI enumeratedApril 8, 2008
Last updated in NPPESApril 8, 2008
Mailing address11645 Wilshire Blvd, Suite 1150, Los Angeles, CA 90025-1708

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