| Phillip C Ahn M.d, A Medical Corporation | |
|
520 S Virgil Ave Ste 205 Los Angeles CA 90020 | |
| (213) 251-3333 | |
| (213) 383-3845 |
| Full Name | Phillip C Ahn M.d, A Medical Corporation |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 520 S Virgil Ave Ste 205, Los Angeles, California |
| Authorized Official Name and Position | Phillip C Ahn (DOCTOCR) |
| Authorized Official Contact | 2132513333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Phillip C Ahn M.d, A Medical Corporation 520 S Virgil Ave Ste 205 Los Angeles CA 90020-1425 Ph: (213) 251-3333 | Phillip C Ahn M.d, A Medical Corporation 520 S Virgil Ave Ste 205 Los Angeles CA 90020 Ph: (213) 251-3333 |
| NPI Number | 1376883751 |
|---|---|
| Provider Enumeration Date | 02/22/2013 |
| Last Update Date | 07/05/2018 |
| Medicare PECOS PAC ID | 8022250943 |
|---|---|
| Medicare Enrollment ID | O20130806000238 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376883751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Phillip C Ahn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104921832 PECOS PAC ID: 1557406907 Enrollment ID: I20100310000027 |
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