Individual
SAMUEL AHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 UCLA MEDICAL PLZ STE 265, LOS ANGELES, CA 90095-1437
(310) 825-0867
(310) 794-5066
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 948-1648
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A153769
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A153769
—
CA
Enumeration date
06/03/2016
Last updated
11/30/2022
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