Individual provider · NPI-1

Dr. Phillip C. Ahn, M.D.

Psychiatry & Neurology, Neurology · Los Angeles, CA

NPI number1104921832
StatusActive
Last updated in NPPESJul 24, 2013

Details

NPI
1104921832
Entity type
Individual (NPI-1)
Name
Dr. Phillip C. Ahn
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 14, 2006
Last updated
Jul 24, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, NeurologyA52241CAYes

Practice location

520 S Virgil Ave.
Suite 205
Los Angeles, CA 90020-1425

Phone 213-251-3333 · Fax 213-383-3845

Mailing address

520 S Virgil Ave.
Suite 205
Los Angeles, CA 90020-1425

Phone 213-251-3333 · Fax 213-383-3845

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