Individual
EUGENE S AHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2985 SYCAMORE DR, SIMI VALLEY, CA 93065-1201
(805) 584-6611
(805) 584-0530
Mailing address
2900 LOMA VISTA RD STE 100, VENTURA, CA 93003-2909
(805) 648-5191
(805) 648-3458
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
A71690
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A716900
—
CA
05
—
1912999533
—
CA
Enumeration date
08/19/2005
Last updated
08/05/2022
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