Ahn, Theodore

Ahn, Theodore is an sole proprietor health care provider with primary practice located at 205 Pasadena Ave , South Pasadena CA 91030-2919. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Ahn, Theodore can be contacted via phone (323) 344-5538.

Contact Information

Primary practice address
205 Pasadena Ave South Pasadena CA 91030-2919
Phone: (323) 344-5538
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 122045 California

Profile Details

NPI number 1851687701
LBN Legal business name Ahn, Theodore
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2011
Last updated Jun 17th, 2024 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851687701 NPPES
California Other 7708 MEDICAL
California Other 7368 MEDICAL
California Other 7667 MEDICAL
California Other 7184 MEDICAL

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