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ELI AHDOOT D.O

>> Organized Health Care Education/Training Program >> Student

Registrant NPI Number: 1609280478

Individual Registrant:
 ELI  AHDOOT D.O
Gender: M
Sole Proprietor

Location and contact information for practice:
26520 CACTUS AVE  MORENO VALLEY, CA 92555-3927 US
Tel: 951-486-4552  Fax: --

Contact information for business:
26520 CACTUS AVE  MORENO VALLEY, CA 92555-3927 US
Tel: 951-486-4552  Fax: --

Registration Information:
NPI: 1609280478
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N390200000XStudent
Organized Health Care Education/Training Program
Y207X00000XAllopathic & Osteopathic Physicians
Orthopaedic Surgery
CA20A14257

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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