Ahn, Randall Lee
Ahn, Randall Lee is an sole proprietor health care provider with primary practice located at 16465 Sierra Lakes Pkwy Ste 140 , Fontana CA 92336-1242. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Ahn, Randall Lee can be contacted via phone (909) 244-9593.Contact Information
Primary practice address
16465 Sierra Lakes Pkwy Ste 140
Fontana CA 92336-1242
Phone: (909) 244-9593
Fax: (833) 903-0337
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | PSY13956 | California |
Profile Details
| NPI number | 1093939399 |
|---|---|
| LBN Legal business name | Ahn, Randall Lee |
| Credentials | PHD, MLIS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 11th, 2007 |
| Last updated | May 7th, 2024 - about 7 months 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 | 1093939399 | NPPES |
| California | Other | PSY13956 | PSYCHOLOGY LICENSE |
Popular Providers
-
Perry, Alicia
28311 N Main St Ste 100, Daphne AL 36526-7074 -
Sims, Angela Marquis
2022 Fifteenth Avenue , Columbus GA 31901-1608 -
Savage, Leslie Anne
1191 Nw Tahoe Lane , Silverdale WA 98383 -
Reed, Lynne
15801 Camino Del Arroyo , Guerneville CA 95446-9311 -
Heck, Stan
176 Barnwood Dr , Edgewood KY 41017-2501 -
Adams, Stefanie Meril
218 W Main St , Hyannis MA 02601-3778 -
Segarra, Efrain
5557 Carys Brook Ln , Gloucester VA 23061-2002 -
Childerston, James K
1146 Opal Ct , Hagerstown MD 21740-5940