| Jason Paul Kellogg Md Inc. | |
|
17782 Cowan Ste A Irvine CA 92614-6041 | |
| (949) 710-4848 | |
| Not Available |
| Full Name | Jason Paul Kellogg Md Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 17782 Cowan Ste A, Irvine, California |
| Authorized Official Name and Position | Ali Mojaddam (MANAGER) |
| Authorized Official Contact | 9497104848 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Paul Kellogg Md Inc. 3419 Via Lido Ste 665 Newport Beach CA 92663-3908 Ph: () - | Jason Paul Kellogg Md Inc. 17782 Cowan Ste A Irvine CA 92614-6041 Ph: (949) 710-4848 |
| NPI Number | 1902617178 |
|---|---|
| Provider Enumeration Date | 01/16/2025 |
| Last Update Date | 01/16/2025 |
| Certification Date | 01/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902617178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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