Ahn, Michelle Soojung

Ahn, Michelle Soojung is an individual health care provider with primary practice located at 1444 Aviation Blvd Suite 201, Redondo Beach CA 90278-4001. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Prosthodontics. Dental Providers / Prosthodontics is her primary health care specialty. Ahn, Michelle Soojung can be contacted via phone (310) 376-2460.

Contact Information

Primary practice address
1444 Aviation Blvd Suite 201 Redondo Beach CA 90278-4001
Phone: (310) 376-2460
Fax: (310) 376-7273
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 28822 Texas
Dental Providers / Prosthodontics 1223P0700X 64658 California

Profile Details

NPI number 1043504954
LBN Legal business name Ahn, Michelle Soojung
Credentials DDS, MSD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2011
Last updated May 4th, 2016 - about 8 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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