Individual
JOSEPH AHDOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 BELLEFONTAINE ST, SUITE 405, PASADENA, CA 91105-3132
(626) 796-9259
(626) 449-8560
Mailing address
50 BELLEFONTAINE ST, SUITE 405, PASADENA, CA 91105-3132
(626) 796-9259
(626) 449-8560
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
A55697
CA
2080P0202X
Pediatric Cardiology Physician
Primary
A55697
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902846306
GROUP NPI
CA
01
—
GR0100430
GROUP MEDICAL
CA
05
—
OOA556970
—
CA
01
—
W18762
GROUP MEDICARE
CA
Enumeration date
11/17/2005
Last updated
03/28/2012
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