Individual
DR. JACOB JACQUE AHDOOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 E CESAR E CHAVEZ AVE, SUITE 3750, LOS ANGELES, CA 90033-2424
(323) 250-2680
(323) 526-8305
Mailing address
1700 E CESAR E CHAVEZ AVE, SUITE 3750, LOS ANGELES, CA 90033-2424
(323) 250-2680
(323) 526-8306
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A98763
CA
Other
Enumeration date
06/12/2007
Last updated
05/13/2014
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