Active NPI
Yung Soon Ahn
- Pediatrics Physician
- Los Angeles, CA
National Provider Identifier
1417087230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A41686
- Legal business name
- YUNG SOON AHN
- Practice address
- 3544 W Olympic Blvd Ste 203
Los Angeles, CA 90019-3528 - Phone
- (323) 733-1235
- NPI assigned
- Mar 7, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yung Soon Ahn, M.D.
- Title
- Owner
- Phone
- (323) 733-1235
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A41686 | CA | Primary |
Addresses
Primary practice location
3544 W Olympic Blvd Ste 203
Los Angeles, CA 90019-3528
Mailing address
PO Box 27206
Los Angeles, CA 90027-0206
National Provider Directory
National Provider DirectoryLocations
3544 W Olympic Blvd
Ste 203
Los Angeles, CA 90019
Phone (323) 733-1235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1417087230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27206",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900270206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3544 W OLYMPIC BLVD STE 203",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900193528",
"telephone_number": "323-733-1235"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YUNG SOON AHN",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "AHN",
"authorized_official_first_name": "YUNG",
"authorized_official_middle_name": "SOON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "323-733-1235",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A41686",
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.