Organization Active NPI

Yung Soon Ahn

  • Pediatrics Physician
  • Los Angeles, CA
National Provider Identifier
1417087230
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A41686 Issued in CA
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.