| Woosung Ahn, M.d., Inc | |
|
20145 Pioneer Blvd Lakewood CA 90715-1051 | |
| (562) 916-5020 | |
| (562) 916-5022 |
| Full Name | Woosung Ahn, M.d., Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 20145 Pioneer Blvd, Lakewood, California |
| Authorized Official Name and Position | Woosung Ahn (PRESIDENT) |
| Authorized Official Contact | 5629165020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Woosung Ahn, M.d., Inc 20145 Pioneer Blvd Lakewood CA 90715-1051 Ph: (562) 916-5020 | Woosung Ahn, M.d., Inc 20145 Pioneer Blvd Lakewood CA 90715-1051 Ph: (562) 916-5020 |
| NPI Number | 1285766253 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 06/21/2018 |
| Medicare PECOS PAC ID | 3678611647 |
|---|---|
| Medicare Enrollment ID | O20091111000587 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285766253 | NPI | - | NPPES |
| 00A514080 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A51408 (California) | Primary |
| Provider Name | Woo S Ahn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396807806 PECOS PAC ID: 6002851268 Enrollment ID: I20091111000572 |
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