Kevin Ahn
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Loma Linda, CA
NPI 1396594016 · NPPES record last updated Jun 28, 2024
Key facts
- NPI
- 1396594016
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 11234 Anderson St Ste C
Loma Linda, CA 92354-2804 - Phone
- (909) 558-4147
- NPI assigned
- May 15, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
11234 Anderson St Ste C
Loma Linda, CA 92354-2804
Mailing address
11234 Anderson St Ste C
Loma Linda, CA 92354-2804
Phone (909) 558-4147
Other providers in Loma Linda, CA
- Saba Fatima Ahmed
- Sana Ahmed
- Sara Ahmed
- Brianna A Ahn
- Jonathan Ahn
- Afshin Ahoubim
- Omar Julian Ahsan
- Krishna Ahuja
- Shobha S. Aiyar
- Andrew Ajoku
All providers in Loma Linda, CA · Student in an Organized Health Care Education/Training Program in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.