Organization
AHDOUT HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE AHDOUT123 (OWNER)
(310) 968-1195
Entity
Organization
Contact information
Practice address
2121 AVENUE OF THE STARS # LL20, LOS ANGELES, CA 90067-5010
(310) 968-1195
Mailing address
2121 AVENUE OF THE STARS # LL20, LOS ANGELES, CA 90067-5010
(310) 968-1195
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/23/2019
Last updated
12/23/2019
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