Individual provider · NPI-1

Samuel Ahn, MD

Psychiatry & Neurology, Neurology · Los Angeles, CA

NPI number1346699022
StatusActive
Last updated in NPPESNov 30, 2022

Details

NPI
1346699022
Entity type
Individual (NPI-1)
Name
Samuel Ahn
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 3, 2016
Certification date
Sep 27, 2022
Last updated
Nov 30, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, NeurologyA153769CAYes

Practice location

200 Ucla Medical Plz Ste 265
Los Angeles, CA 90095-1437

Phone 310-825-0867 · Fax 310-794-5066

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Phone 310-948-1648

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