Organization
SLEEP DIAGNOSTIC CENTER OF IRVINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN AHDOOT M.D. (OWNER)
(951) 699-0303
Entity
Organization
Contact information
Practice address
15775 LAGUNA CANYON RD, SUITE 290, IRVINE, CA 92618-3189
(951) 699-0303
(951) 296-0445
Mailing address
15775 LAGUNA CANYON RD, SUITE 290, IRVINE, CA 92618-3189
(951) 699-0303
(951) 296-0445
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
BUS10-00083
CA
Other
Enumeration date
05/03/2012
Last updated
05/25/2012
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