# AHN FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588400980
- **Authorized official:** MRS. ALICIA COULTER (CEO)
- **Authorized official phone:** (657) 464-5004

## Contact information

- **Practice address:** 4924 PEARCE AVE, LAKEWOOD, CA 90712-2751
- **Practice address phone:** (657) 464-5004
- **Mailing address:** 11331 183RD ST \# 311, CERRITOS, CA 90703-5434
- **Mailing address phone:** (657) 464-5004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 251K00000X | Public Health or Welfare Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 07/04/2024
- **Last updated:** 07/04/2024
