Organization
OMEED AHADIAT, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMEED AHADIAT (PRESIDENT)
(714) 598-9939
Entity
Organization
Contact information
Practice address
113 WATERWORKS WAY, IRVINE, CA 92618-3167
(949) 551-1113
Mailing address
20270 KLINE LN, YORBA LINDA, CA 92887-3269
(714) 598-9939
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
06/27/2022
Last updated
07/05/2022
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