Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Allergy Immunology and Asthma Medical Group Inc

Organization Specialist · NPI 1376554824

Allergy Immunology and Asthma Medical Group Inc provides Specialist services 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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