Individual provider Active NPI

Hyojoon Phillip Hahn, MD

  • Diagnostic Radiology Physician
  • Los Angeles, CA
National Provider Identifier
1407880073
Registry record updated Feb 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G60353 Issued in CA
Practice address
11620 Wilshire Blvd
Ste. 100
Los Angeles, CA 90025-1706
Phone
(310) 914-7336
Fax
(310) 914-7326
NPI assigned
Jul 10, 2006
Last updated
Feb 11, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X G60353 CA Primary

Addresses

Primary practice location

11620 Wilshire Blvd
Ste. 100
Los Angeles, CA 90025-1706

Mailing address

PO Box 5667
Orange, CA 92863-5667
Phone (888) 598-8820

Other identifiers 2

IdentifierTypeStateIssuer
00G603530OtherCABLUE SHIELD
00G603530MedicaidCA

Other names 1

  • Phillip Hahn Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040304001314 CA Practitioner - Diagnostic Radiology 0547158321 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical University of South Carolina College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Golden State Imaging Associates IncGroup PAC ID 1254761315, 242 clinicians
Renaissance Imaging Medical Associates IncGroup PAC ID 7315841756, 126 clinicians

Practice addresses (Care Compare)

1081 N China Lake Blvd
Ridgecrest, CA 93555-3130
Phone (818) 639-2901

17100 Euclid St
Fountain Valley, CA 92708-4004
Phone (818) 639-2901

2314 Westridge Rd
Los Angeles, CA 90049-1229
Phone (818) 639-2901

317 N Palm Dr
Apt 4C
Beverly Hills, CA 90210-5800
Phone (818) 639-2901

44105 15TH W St
Suite 100
Lancaster, CA 93534-4088
Phone (818) 435-1433

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Golden State Imaging Associates Inc Diagnostic Radiology CurrentSince Jan 9, 2023 Accepting new patients
Renaissance Imaging Medical Associates, Inc. Diagnostic Radiology CurrentSince Jan 15, 2017 Accepting new patients
Landmark Imaging Medical Group, Inc. Diagnostic Radiology Past Accepting new patients
Saint John's Tower Imaging Medical Group, Inc. Diagnostic Radiology Past Accepting new patients
Quantum Medical Radiology of California, P.C. Diagnostic Radiology Past Accepting new patients
Santa Rosa Imaging Medical Center Diagnostic Radiology PastSince Dec 1, 2017 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology Past Accepting new patients
Landmark Imaging Surgical Center, LLC Past Accepting new patients

Locations

8670 Wilshire Blvd
Ste 101
Beverly Hills, CA 90211
Phone (310) 358-2100

17100 Euclid St
Ste 4004
Fountain Vly, CA 92708
Phone (714) 966-7200

47111 Monroe St
Indio, CA 92201
Phone (760) 347-6191

47111 Monroe St
#1112
Indio, CA 92201

1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254

44105 15th St W
Ste 100
Lancaster, CA 93534
Phone (661) 726-6050

1245 Wilshire Blvd
Ste 205
Los Angeles, CA 90017
Phone (213) 202-7067

301 Science Dr
Ste 150
Moorpark, CA 93021
Phone (805) 855-7000

2400 E 4th St
National City, CA 91950
Phone (619) 470-4141

18436 Roscoe Blvd
Northridge, CA 91325
Phone (805) 577-2012

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

38600 Medical Center Dr
Palmdale, CA 93551
Phone (661) 382-5000

1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616

3865 Jackson St
Riverside, CA 92503
Phone (909) 688-2211

501 Petaluma Ave
Sebastopol, CA 95472
Phone (707) 823-8511

3291 Loma Vista Rd
Ventura, CA 93003
Phone (805) 652-6000

16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392076800000",
    "number": "1407880073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5667",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928635667",
            "telephone_number": "888-598-8820",
            "fax_number": "714-571-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11620 WILSHIRE BLVD",
            "address_2": "STE. 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251706",
            "telephone_number": "310-914-7336",
            "fax_number": "310-914-7326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAHN",
        "first_name": "HYOJOON",
        "middle_name": "PHILLIP",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2014-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G60353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G603530",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G603530",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHILLIP",
            "last_name": "HAHN",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.