Provider Demographics
NPI:1629294772
Name:H A A D D, INC
Entity Type:Organization
Organization Name:H A A D D, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ELLIOTT
Authorized Official - Last Name:SOSIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-660-8873
Mailing Address - Street 1:1700 E GARRY AVE
Mailing Address - Street 2:STE 116
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-5827
Mailing Address - Country:US
Mailing Address - Phone:949-660-8873
Mailing Address - Fax:949-660-9524
Practice Address - Street 1:1700 E GARRY AVE
Practice Address - Street 2:STE 116
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-5827
Practice Address - Country:US
Practice Address - Phone:949-660-8873
Practice Address - Fax:949-660-9524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG13099261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA38884Medicare UPIN