Individual
DR. ERIC SOOYONG AHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 E 3RD ST STE 603, LOS ANGELES, CA 90013-1645
(213) 680-1551
(213) 680-2148
Mailing address
420 E 3RD ST STE 603, LOS ANGELES, CA 90013-1645
(213) 680-1551
(213) 680-2148
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
0101258022
VA
207W00000X
Ophthalmology Physician
D0074509
MD
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
151227
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
151227
MEDICAL LICENSE
CA
01
—
MD160059
MEDICAL LICENSE
OR
Enumeration date
05/20/2008
Last updated
07/21/2022
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