Organization Active NPI

Sang Hoon Ahn MD Inc

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1043501760
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A95562 Issued in CA
Legal business name
SANG HOON AHN MD INC
Practice address
500 S. Virgil Ave
Suite 502
Los Angeles, CA 90020-1416
Phone
(213) 388-0908
Fax
(213) 388-0919
NPI assigned
Apr 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sang Hoon Ahn, MD
Title
President
Phone
(213) 388-0908

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X A95562 CA Primary

Addresses

Primary practice location

500 S. Virgil Ave
Suite 502
Los Angeles, CA 90020-1416

Mailing address

500 S. Virgil Ave
Suite 502
Los Angeles, CA 90020-1416
Phone (213) 388-0908

National Provider Directory

National Provider Directory

Locations

500 S Virgil Ave
Ste 502101
Los Angeles, CA 90020

500 S Virgil Ave
Ste 502
Los Angeles, CA 90020
Phone (213) 338-0908

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405987200000",
    "number": "1043501760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S. VIRGIL AVE",
            "address_2": "SUITE 502",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201416",
            "telephone_number": "213-388-0908",
            "fax_number": "213-388-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S. VIRGIL AVE",
            "address_2": "SUITE 502",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201416",
            "telephone_number": "213-388-0908",
            "fax_number": "213-388-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANG HOON AHN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-28",
        "last_updated": "2014-07-22",
        "status": "A",
        "authorized_official_last_name": "AHN",
        "authorized_official_first_name": "SANG",
        "authorized_official_middle_name": "HOON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-388-0908",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A95562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.