Individual
JACOB K AHDOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15775 LAGUNA CANYON RD, SUITE 220, IRVINE, CA 92618-3145
(949) 753-8882
(949) 753-8920
Mailing address
15775 LAGUNA CANYON RD, SUITE 220, IRVINE, CA 92618-3145
(949) 753-8882
(949) 753-8920
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A46389
CA
Other
Enumeration date
05/24/2006
Last updated
04/22/2013
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