Individual provider · NPI-1

Dr. Harry H. Ahn, MD

Family Medicine · Glendale, CA

NPI number1730492000
StatusActive
Last updated in NPPESJun 8, 2018

Details

NPI
1730492000
Entity type
Individual (NPI-1)
Name
Dr. Harry H. Ahn
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 15, 2010
Last updated
Jun 8, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineA121353CAYes
207P00000X Emergency MedicineA121353CA
208M00000X HospitalistA121353CA

Practice location

1812 Verdugo Blvd
Glendale, CA 91208-1407

Phone 818-790-7100

Mailing address

Po Box 1264
La Canada, CA 91012-5264

Phone 805-946-0430

Other practice locations

1515 E Ocean Ave
Lompoc, CA 93436-7092

Phone 805-737-3300

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