Individual
LAITH A MUKDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
26726 CROWN VALLEY PKWY STE 200, MISSION VIEJO, CA 92691-8003
(949) 364-4361
(949) 364-4495
Mailing address
26726 CROWN VALLEY PKWY STE 200, MISSION VIEJO, CA 92691-8003
(949) 364-4361
(949) 364-4495
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A182262
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A182262
OTOLARYNGOLOGY
CA
Enumeration date
03/25/2019
Last updated
07/16/2024
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