Organization
JACOB JACQUE AHDOOT MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB JACQUE AHDOOT M.D. (PRESIDENT)
(310) 741-2329
Entity
Organization
Contact information
Practice address
1700 E CESAR E CHAVEZ AVE, SUITE 3750, LOS ANGELES, CA 90033-2424
(310) 741-2329
Mailing address
1700 E CESAR E CHAVEZ AVE, SUITE 3750, LOS ANGELES, CA 90033-2424
(310) 741-2329
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A98763
CA
Other
Enumeration date
04/12/2011
Last updated
03/01/2012
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