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Edward Ahn, MD
Specialist in Los Angeles, California
NPI 1982663795

Edward Ahn is a Specialist based in Los Angeles, CA. Edward Ahn practices in Los Angeles, CA and has the professional credentials of MD. The NPI Number for Edward Ahn is 1982663795 and holds a License No. A40196 (California).

The current practice location address for Edward Ahn is 4620 Beverly Blvd, Los Angeles, CA and can be reached out via phone at 323-462-6423 and via fax at 323-462-3904.

Location: 4620 Beverly Blvd, Los Angeles, CA, 90004-3102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982663795
Provider Name
Edward Ahn
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4620 Beverly Blvd, Los Angeles, CA, 90004-3102
Phone Number
323-462-6423
Fax Number
323-462-3904
Provider Enumeration Date
03/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A401960 05 CA
953951355 01 CA TAX ID #
A29073 01 CA PTAN
institution
Provider Business Practice Location Address Details
Address
4620 Beverly Blvd
City
Los Angeles
State
California
Zip
90004-3102
Phone Number
323-462-6423
Fax Number
323-462-3904
person
Provider Business Mailing Address Details
Address
4620 Beverly Blvd
City
Los Angeles
State
California
Zip
90004-3102
Phone Number
323-462-6423
Fax Number
323-462-3904
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A40196 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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