Woosung Ahn, M.D., Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A51408 Issued in CA

Legal business name

WOOSUNG AHN, M.D., INC

Practice address

20145 Pioneer Blvd
Lakewood, CA 90715-1051

Phone

(562) 916-5020

Fax

(562) 916-5022

NPI assigned

Mar 12, 2007

Organization subpart

No

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

Authorized official

Name

Woosung Ahn, M.D.NPI 1396807806

Title

President

Phone

(562) 916-5020

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Woo Sung Ahn, MD

  • Internal Medicine Physician
  • Lakewood, CA
  • NPI 1396807806
  Medicare reassignment NPD Authorized official
• Hannah Hyekyung Lee, FNP

  • Family Nurse Practitioner
  • Los Angeles, CA
  • NPI 1366945016
  NPD (past)

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1285766253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20145 PIONEER BLVD",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907151051",
            "telephone_number": "562-916-5020",
            "fax_number": "562-916-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20145 PIONEER BLVD",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907151051",
            "telephone_number": "562-916-5020",
            "fax_number": "562-916-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOOSUNG AHN, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "AHN",
        "authorized_official_first_name": "WOOSUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-916-5020",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A51408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A514080",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judy Wong, OD
• Milton Henry Wong, RN, ADN, BSN
• Derrick En-Pei Woo, OD
• Raymond C Woo, PHARM D
• Melinda Woolen
• Wtu Fitness and Post Rehabilitation Center
• Hao Wu, D.P.M.
• Hui-Chun Wu
• Katie Mika Yamaguchi
• Alfred Mitsuru Yamamoto, M.D.

• Internal Medicine Physician in Lakewood, CA
• Providers in Lakewood, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.