Provider Demographics
NPI:1972126662
Name:LUNG & ALLERGY HEALTH ASSOCIATES PMC
Entity type:Organization
Organization Name:LUNG & ALLERGY HEALTH ASSOCIATES PMC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:INDERPAL
Authorized Official - Middle Name:
Authorized Official - Last Name:RANDHAWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-490-9900
Mailing Address - Street 1:PO BOX 3637
Mailing Address - Street 2:
Mailing Address - City:SEAL BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90740-7637
Mailing Address - Country:US
Mailing Address - Phone:562-490-9900
Mailing Address - Fax:562-933-8744
Practice Address - Street 1:701 E 28TH ST STE 418
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-2794
Practice Address - Country:US
Practice Address - Phone:562-684-8096
Practice Address - Fax:562-933-8744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-28
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric PulmonologyGroup - Multi-Specialty
No2080P0201XAllopathic & Osteopathic PhysiciansPediatricsPediatric Allergy/ImmunologyGroup - Multi-Specialty
No2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care MedicineGroup - Multi-Specialty