Phillip C Ahn M.D, a Medical Corporation

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

PHILLIP C AHN M.D, A MEDICAL CORPORATION

Practice address

520 S Virgil Ave Ste 205
Los Angeles, CA 90020

Phone

(213) 251-3333

Fax

(213) 383-3845

NPI assigned

Feb 22, 2013

Organization subpart

No

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

Authorized official

Name

Phillip C Ahn, M.D.,NPI 1104921832

Title

Doctocr

Phone

(213) 251-3333

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Phillip C. Ahn, M.D.

  • Neurology Physician
  • Los Angeles, CA
  • NPI 1104921832
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1361491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530748800000",
    "number": "1376883751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S VIRGIL AVE STE 205",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201425",
            "telephone_number": "213-251-3333",
            "fax_number": "213-383-3845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S VIRGIL AVE STE 205",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90020",
            "telephone_number": "213-251-3333",
            "fax_number": "213-383-3845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP C AHN M.D, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-22",
        "last_updated": "2018-07-05",
        "status": "A",
        "authorized_official_last_name": "AHN",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DOCTOCR",
        "authorized_official_telephone_number": "213-251-3333",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neurology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.