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NPI Code Detail

MEDICARE: ELI AHDOOT D.O

MEDICARE: ELI AHDOOT D.O
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician20A14257CA

General Provider Information

NPI Number : 1609280478
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELI AHDOOT D.O
Provider Business Mailing Address
First Line : 191 S BUENA VISTA ST STE 370
Second Line :
City : BURBANK
State : CA
Zip : 91505-4562
Country : US
Telephone Number : 310-526-7144
Fax Number : 310-526-7157
Provider Business Practice Location Address
First Line : 191 S BUENA VISTA ST STE 370
Second Line :
City : BURBANK
State : CA
Zip : 91505-4562
Country : US
Telephone Number : 310-526-7144
Fax Number : 310-526-7157
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2014
Last Update Date : 02/04/2025

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Directions to “ ELI AHDOOT D.O” Practice Location

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