Ahn, Sam Seunghae

Ahn, Sam Seunghae is an individual health care provider with primary practice located at 1082 Glendon Ave , Los Angeles CA 90024-2908. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Ahn, Sam Seunghae can be contacted via phone (310) 209-2011.

Contact Information

Primary practice address
1082 Glendon Ave Los Angeles CA 90024-2908
Fax: (310) 209-2113
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X F1333 Texas

Profile Details

NPI number 1497783831
LBN Legal business name Ahn, Sam Seunghae
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Jan 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497783831 NPPES
Texas Other 8AD481 BLUE CROSS PPO
Texas Other P00429299 BLUE CROSS PPO
Texas Other 208087232 BLUE CROSS PPO
Texas MEDICAID 182297503 BLUE CROSS PPO

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