Ahn, Edward

Ahn, Edward is an sole proprietor health care provider with primary practice located at 4620 Beverly Blvd , Los Angeles CA 90004-3102. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Ahn, Edward can be contacted via phone (323) 462-6423.

Contact Information

Primary practice address
4620 Beverly Blvd Los Angeles CA 90004-3102
Fax: (323) 462-3904
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A40196 California

Profile Details

NPI number 1982663795
LBN Legal business name Ahn, Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 21st, 2006
Last updated Nov 6th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982663795 NPPES
California MEDICAID 00A401960
California Other 953951355
California Other A29073

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