# SLEEP DIAGNOSTIC CENTER OF IRVINE

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

## Provider details

- **NPI number:** 1962761445
- **Authorized official:** JONATHAN AHDOOT M.D. (OWNER)
- **Authorized official phone:** (951) 699-0303

## Contact information

- **Practice address:** 15775 LAGUNA CANYON RD, SUITE 290, IRVINE, CA 92618-3189
- **Practice address phone:** (951) 699-0303
- **Practice address fax:** (951) 296-0445
- **Mailing address:** 15775 LAGUNA CANYON RD, SUITE 290, IRVINE, CA 92618-3189
- **Mailing address phone:** (951) 699-0303
- **Mailing address fax:** (951) 296-0445

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | BUS10-00083 | CA | Yes |

## Other

- **Enumeration date:** 05/03/2012
- **Last updated:** 05/25/2012