MORRIS M. AHDOOT MD INC. (NPI# 1457657140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457657140 |
| Entity Type | Organization |
| Organization Name | MORRIS M. AHDOOT MD INC. |
| Practice Address |
15775 Laguna Canyon Rd Irvine CA 92618-3189 |
| Mailing Address |
15775 Laguna Canyon Rd Ste 200 Irvine CA 92618-3191 |
| Practice Telephone | 9494531173 |
| Practice Fax Number | 9494531175 |
| Mailing Telephone | 9494531173 |
| Mailing Fax Number | 9494531175 |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2011-01-28 |
| Authorized Official Name | DR. MORRIS M AHDOOT (PRESIDENT) |
| Authorized Official Telephone | 9494531173 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
A67668 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A676680 | 05 |
| Street Address |
15775 LAGUNA CANYON RD |
| City | IRVINE |
| State | CA |
| Zip Code | 92618-3189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952356214 | Jacob K Ahdoot | Internal Medicine | 15775 Laguna Canyon Rd, Suite 220, Irvine, CA 92618-3145 | 2006-05-24 |
| 1407406838 | Sanam Amini | Occupational Therapist | 15775 Laguna Canyon Rd, Irvine, CA 92618-3189 | 2019-09-17 |
| 1740786284 | Youn Kyung Leu | Registered Nurse | 15775 Laguna Canyon Rd, Irvine, CA 92618-3189 | 2018-04-03 |
| 1730571878 | James Glenn Hunter | Physical Therapist | 15775 Laguna Canyon Rd, 110, Irvine, CA 92618-3189 | 2015-02-26 |
| 1124445564 | Renalani Moodley | Occupational Therapist | 15775 Laguna Canyon Rd, Suite 110, Irvine, CA 92618-3189 | 2014-03-24 |
| 1750627402 | Vicki Tuggy | Physical Therapist | 15775 Laguna Canyon Rd, Suite # 110, Irvine, CA 92618-3189 | 2012-12-28 |
| 1174870463 | Lisa M Kawaguchi | Occupational Therapist | 15775 Laguna Canyon Rd, Ste 110, Irvine, CA 92618-3189 | 2012-08-06 |
| 1346501822 | Cody Michael Moore | Occupational Therapist | 15775 Laguna Canyon Rd, Ste 110, Irvine, CA 92618-3189 | 2012-05-31 |
| 1962761445 | Sleep Diagnostic Center of Irvine | Internal Medicine | 15775 Laguna Canyon Rd, Suite 290, Irvine, CA 92618-3189 | 2012-05-03 |
| 1114299948 | Joseph Medical Group, Inc. | Non-Pharmacy Dispensing Site | 15775 Laguna Canyon Rd, Ste 210, Irvine, CA 92618-3189 | 2012-02-09 |
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| 1790263713 | Jw Professional Dental Corporation | Dentist | 14785 Jeffrey Rd. Ste 200, Irvine, CA 92618 | 2018-08-01 |
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| 1083123194 | Ning Wang | Behavioral Analyst | 9844 Research Dr Ste 100, Irvine, CA 92618 | 2017-09-21 |
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| 1265897862 | Whitney Elyse Davies | Physical Therapist | 26650 Alton Parkway, Irvine, CA 92618 | 2015-12-23 |
| 1245619295 | Nora Witt | Registered Nurse | 16205 Sand Canyon Avenue, Suite 100, Irvine, CA 92618 | 2015-05-22 |
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| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.