Ahn, Eugene S

Ahn, Eugene S is an individual health care provider with primary practice located at 2985 Sycamore Dr , Simi Valley CA 93065-1201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Ahn, Eugene S can be contacted via phone (805) 584-6611.

Contact Information

Primary practice address
2985 Sycamore Dr Simi Valley CA 93065-1201
Fax: (805) 584-0530
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X A71690 California

Profile Details

NPI number 1912999533
LBN Legal business name Ahn, Eugene S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Aug 5th, 2022 - about 2 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 1912999533 NPPES
California MEDICAID 1912999533
California MEDICAID 00A716900

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