Organization
SANDEEP THAKKAR DO A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE BOOKER (CREDENTIALING MANAGER)
(951) 681-8693
Entity
Organization
Contact information
Practice address
15775 LAGUNA CANYON RD STE 190, IRVINE, CA 92618-7707
(714) 602-9891
(714) 912-4181
Mailing address
15775 LAGUNA CANYON RD STE 190, IRVINE, CA 92618-7707
(714) 602-9891
(714) 912-4181
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/26/2023
Last updated
04/01/2026
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