Individual
TERRIE SUSIE AHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1245 16TH ST, SANTA MONICA, CA 90404-1235
(310) 481-4646
(310) 899-7599
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
A162214
CA
208000000X
Pediatrics Physician
A162214
CA
Other
Enumeration date
06/24/2016
Last updated
08/04/2022
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