Organization
JONATHAN AHDOOT MD INC
Active
Other names
JAHANGIR J AHDOOT
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN AHDOOT M.D. (OWNER)
(949) 727-4330
Entity
Organization
Contact information
Practice address
15775 LAGUNA CANYON RD, SUITE 290, IRVINE, CA 92618-3145
(949) 727-4330
(949) 727-1851
Mailing address
15775 LAGUNA CANYON RD, SUITE 290, IRVINE, CA 92618-3145
(949) 727-4330
(949) 727-1851
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
A44025
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A440250
—
CA
Enumeration date
07/29/2009
Last updated
02/23/2015
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