Individual provider · NPI-1

Dr. Eric Sooyong Ahn, MD

Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery · Los Angeles, CA

NPI number1841457652
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1841457652
Entity type
Individual (NPI-1)
Name
Dr. Eric Sooyong Ahn
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
May 20, 2008
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery151227CAYes
207W00000X Ophthalmology0101258022VA
207W00000X OphthalmologyD0074509MD

Practice location

420 E 3rd St Ste 603
Los Angeles, CA 90013-1645

Phone 213-680-1551 · Fax 213-680-2148

Mailing address

420 E 3rd St Ste 603
Los Angeles, CA 90013-1645

Phone 213-680-1551 · Fax 213-680-2148

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