Organization
JASON PAUL KELLOGG MD INC.
Active
Other names
Pillars Psychiatric Services
Organization subpart
No
Provider details
NPI number
Authorized official
ALI MOJADDAM (MANAGER)
(949) 710-4848
Entity
Organization
Contact information
Practice address
17782 COWAN STE A, IRVINE, CA 92614-6041
(949) 710-4848
Mailing address
3419 VIA LIDO STE 665, NEWPORT BEACH, CA 92663-3908
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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