Ahn, Chanook
Ahn, Chanook is an sole proprietor health care provider with primary practice located at 1127 Wilshire Blvd , Los Angeles CA 90017-3901. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Periodontics. Dental Providers / Periodontics is his primary health care specialty. Ahn, Chanook can be contacted via phone (213) 481-0664.Contact Information
Primary practice address
1127 Wilshire Blvd
Los Angeles CA 90017-3901
Phone: (213) 481-0664
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Dental Providers / Periodontics | 1223P0300X | 101227 | California |
Profile Details
| NPI number | 1699113050 |
|---|---|
| LBN Legal business name | Ahn, Chanook |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 7th, 2013 |
| Last updated | Jul 22nd, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699113050 | NPPES |
| California | Other | 101227 | DENTAL BOARD OF CALIFORNIA |
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