Notice: Undefined index: MMACCP_CARD_EXP_MONTH in /home/aaanc/public_html/MMA_payment_functions.php on line 175

Notice: Undefined index: MMACCP_CARD_EXP_YEAR in /home/aaanc/public_html/MMA_payment_functions.php on line 175

Notice: Undefined index: MMACCP_CARD_FIRST_NAME in /home/aaanc/public_html/MMA_payment_functions.php on line 176

Notice: Undefined index: MMACCP_CARD_LAST_NAME in /home/aaanc/public_html/MMA_payment_functions.php on line 177

Notice: Undefined index: MMACCP_CARD_ADDRESS in /home/aaanc/public_html/MMA_payment_functions.php on line 178

Notice: Undefined index: MMACCP_CARD_CITY in /home/aaanc/public_html/MMA_payment_functions.php on line 179

Notice: Undefined index: MMACCP_CARD_STATE in /home/aaanc/public_html/MMA_payment_functions.php on line 180

Notice: Undefined index: MMACCP_CARD_ZIP in /home/aaanc/public_html/MMA_payment_functions.php on line 181

Notice: Undefined index: MMACCP_TELEPHONE in /home/aaanc/public_html/MMA_payment_functions.php on line 182

Notice: Undefined index: MMACCP_CARD_NUMBER in /home/aaanc/public_html/MMA_payment_functions.php on line 183

Notice: Undefined index: MMACCP_MMA_INVOICE in /home/aaanc/public_html/MMA_payment_functions.php on line 184

Notice: Undefined index: MMACCP_EMAIL_ADDRESS in /home/aaanc/public_html/MMA_payment_functions.php on line 185

Notice: Undefined index: MMACCP_CARD_TYPE in /home/aaanc/public_html/MMA_payment_functions.php on line 186

Notice: Undefined index: MMACCP_PATIENT_DOB in /home/aaanc/public_html/MMA_payment_functions.php on line 187

Notice: Undefined index: MMACCP_CARD_CCV_CODE in /home/aaanc/public_html/MMA_payment_functions.php on line 189

Notice: Undefined index: MMACCP_PATIENT_NAME in /home/aaanc/public_html/MMA_payment_functions.php on line 193

Notice: Undefined index: MMACCP_AMOUNT in /home/aaanc/public_html/MMA_payment_functions.php on line 195

Notice: Undefined index: MMACCP_COMMENTS in /home/aaanc/public_html/MMA_payment_functions.php on line 196

Notice: Undefined variable: MMACCP_CARD_TYPE_DESC in /home/aaanc/public_html/MMA_payment_functions.php on line 229

Warning: Cannot modify header information - headers already sent by (output started at /home/aaanc/public_html/MMA_payment_functions.php:175) in /home/aaanc/public_html/MMA_index_code.php on line 74
Payment Review - Allergy and Asthma Associates of Northern California | San Jose Allergists
logo for print
San Jose Main Office: 408-243-2700 • South San Jose: 408-281-7400 • Regional East San Jose: 408-254-0300 • Santa Cruz: 831-479-6933 • Gilroy: 408-848-1800 • Fremont: 510-797-5555 • Monterey: 831-649-4044 • Mountain View: 650-210-9292

Payment Review

Patient Account Information
Patient Name:
Guarantor ID:
Date of Birth:
Telephone Number:
Email Address:
Credit Card Information
Cardholder First Name:
Cardholder Last Name:
Street Address:
Zip Code:
Credit Card Type:
Credit Card Number:
Expiration Date: /
Credit Card CCV:
Payment Amount: $

In-Office & Telemedicine Appointments Available! Request Appointment

Eight Convenient Bay Area Offices

  • South San Jose393 Blossom Hill Rd
    Suite 315
    San Jose, CA 95123
  • 404-281-7400
  • Santa Cruz3329 Mission Dr
    Santa Cruz, CA 95065
  • 831-479-6933
  • Gilroy9360 No Name Uno
    Suite 250
    Gilroy, CA 95020
  • 408-848-1800
  • Fremont2287 Mowry Ave
    Suite E
    Fremont, CA 94538
  • 510-797-5555
  • Monterey337 El Dorado St
    Suite 2A
    Monterey, CA 93940
  • 831-649-4044
  • Mountain View285 South Dr
    Suite 1
    Mountain View, CA 94040
  • 650-210-9292