| Ahdout Health Services, Inc. | |
|
2121 Avenue Of The Stars # Ll20 Los Angeles CA 90067-5010 | |
| (310) 968-1195 | |
| Not Available |
| Full Name | Ahdout Health Services, Inc. |
|---|---|
| Speciality | General Practice |
| Location | 2121 Avenue Of The Stars # Ll20, Los Angeles, California |
| Authorized Official Name and Position | Jasmine Ahdout123 (OWNER) |
| Authorized Official Contact | 3109681195 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ahdout Health Services, Inc. 2121 Avenue Of The Stars # Ll20 Los Angeles CA 90067-5010 Ph: (310) 968-1195 | Ahdout Health Services, Inc. 2121 Avenue Of The Stars # Ll20 Los Angeles CA 90067-5010 Ph: (310) 968-1195 |
| NPI Number | 1568001584 |
|---|---|
| Provider Enumeration Date | 12/23/2019 |
| Last Update Date | 12/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568001584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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