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Organization
MICHELLE AHN MD SC
Active
Organization
MICHELLE AHN MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE AHN M.D. (PRESIDENT)
(510) 788-0582
Entity
Organization
Contact information
Practice address
1250 ADDISON ST, STE 113, BERKELEY, CA 94702
(510) 788-0582
Mailing address
1376 HOPKINS ST, BERKELEY, CA 94702
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A121280
CA
Other
Enumeration date
08/15/2017
Last updated
08/15/2017
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