LORI BRODERICK M.D., PH.D. – NPI #1417152232
Allergy & Immunology

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

LORI BRODERICK is an allergy & immunologist located in SAN DIEGO, CA. NPPES has assigned the NPI number 1417152232 to LORI BRODERICK on June 20, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207K00000X from the Health Care Provider Taxonomy code set, which is classified as Allergy & Immunology.

The NPI profile was previously updated about 10 years ago on Mar 14, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LORI BRODERICK below.

NPI Profile for
LORI BRODERICK

NPI Number
1417152232
Enumeration Date

(about 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
LORI BRODERICK
Credentials
M.D., PH.D.
Primary location
8110 BIRMINGHAM WAY
SAN DIEGO, CA 92123-2758
Phone: (858) 966-5961 Fax:
Mailing address
3020 CHILDRENS WAY
MC5003
SAN DIEGO, CA 92123-4223
Phone: (858) 309-6300 Fax:
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207K00000X
- Allergy & Immunology (Primary)
CA A106397
208000000X
- Pediatrics
CA A106397

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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