# IRA VIDOR, M.D., A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740688654
- **Authorized official:** DR. IRA VIDOR M.D. (PHYSICIAN)
- **Authorized official phone:** (949) 689-8786

## Contact information

- **Practice address:** 366 SAN MIGUEL DR STE 300, NEWPORT BEACH, CA 92660
- **Practice address phone:** (949) 999-8717
- **Practice address fax:** (949) 315-3449
- **Mailing address:** 366 SAN MIGUEL DR STE 300, NEWPORT BEACH, CA 92660-7810
- **Mailing address phone:** (949) 999-8717
- **Mailing address fax:** (949) 315-3449

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | A108065 | CA | Yes |

## Other

- **Enumeration date:** 12/09/2014
- **Last updated:** 01/13/2023