SOUTHERN CALIFORNIA ALLERGY
Osteopathic Medicine at Ventura Blvd, Van Nuys, CA

License number
California A84051
Category
Osteopathic Medicine
Type
Allergy
Owner
Name: DR. HENRY J LEGERE III MD
Title: CEO
Phone: (512) 732-2774
Address
Address 2
16500 Ventura Blvd STE 360, Van Nuys, CA 91436
5656 Bee Cave Rd STE G201, Austin, TX 78746
National Provider ID: 1730469974
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Southern California Allergy

16500 Ventura Blvd, Van Nuys, CA 91436

Industry:
Medical Doctor's Office, Offices and Clinics of Medical Doctors, N
Phone:
(818) 990-9155 (Phone)
Chief Executive Officers:
Danica Schulte (Allergy And Immunology),Henrey J. Legere (Chief Executive Officer),Henry J. Legere Chief Executive Officer, inactive
Categories:
Allergy & Immunology Physicians & Surgeons

SOUTHERN CALIFORNIA ALLERGY

5656 Bee Cave Rd, Austin, TX 78746

Registration:
Oct 31, 2011
State ID:
C3425400
Business type:
Articles of Incorporation
Entity State:
CA
President:
Henry Joseph Legere (President)
Agent:
Danica Schulte,Encino, CA 91436 (Physical)

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