Active NPI
Eric Sooyong Ahn, MD
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery Physician
- License
- 151227
- Practice address
- 420 E 3Rd St Ste 603
Los Angeles, CA 90013-1645 - Phone
- (213) 680-1551
- Fax
- (213) 680-2148
- NPI assigned
- May 20, 2008
- Last updated
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 0101258022 | VA | |
| Ophthalmology Physician | 207W00000X | D0074509 | MD | |
| Ophthalmic Plastic and Reconstructive Surgery Physician | 207WX0200X | 151227 | CA | Primary |
Addresses
Primary practice location
420 E 3Rd St Ste 603
Los Angeles, CA 90013-1645
Mailing address
420 E 3Rd St Ste 603
Los Angeles, CA 90013-1645
Phone (213) 680-1551
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD160059 | Other | OR | MEDICAL LICENSE |
| 151227 | Other | CA | MEDICAL LICENSE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Albany Medical College of Union University, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
879 W 190TH St
Suite 100
Gardena, CA 90248-4223
Phone (310) 329-9975
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.43 of 100
- Quality
- 91.88
- Promoting interoperability
- 76
- Improvement activities
- 40
- Cost
- 76.22
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0074509 | MD | MD | Ophthalmology Physician |
| 0101258022 | VA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East-West Eye Institute a Medical Corporation | Ophthalmology | Current | Accepting new patients |
| East-West Eye Institute a Medical Corporation | Ophthalmology | Current | Accepting new patients |
| East-West Eye Institute a Medical Corporation | Ophthalmology | Past | Accepting new patients |
| Providence Health System - Southern California | Past | Accepting new patients | |
| East-West Eye Institute a Medical Corporation | Ophthalmology | Past | Accepting new patients |
| Little Company of Mary Affiliated Services Inc | Past | Accepting new patients | |
| Inova Health Care Services | Past | Accepting new patients | |
| Skypark Surgery Center LLC | Past | Accepting new patients |
Locations
75 Enterprise
Ste 200
Aliso Viejo, CA 92656
Phone (949) 554-4688
475 W Badillo St
Covina, CA 91723
Phone (626) 331-2209
1045 W Redondo Beach Blvd
Ste 400
Gardena, CA 90247
Phone (310) 219-7701
1300 W 155th St
Ste 104
Gardena, CA 90247
Phone (310) 329-9975
879 W 190th St
Ste 100
Gardena, CA 90248
Phone (310) 329-9115
420 E 3rd St
Ste 603
Los Angeles, CA 90013
Phone (213) 625-2694
50 Alessandro Pl
Ste 150
Pasadena, CA 91105
Phone (626) 577-5437
571 W 7th St
San Pedro, CA 90731
Phone (310) 831-1201
23441 Madison St
Ste 120
Torrance, CA 90505
Phone (310) 370-3628
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://app.meldrx.com/api/fhir/amanpreet
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.
-
- Ophthalmology Physician
- Torrance, CA
- NPI 1285810994
-
- Ophthalmology Physician
- Los Angeles, CA
- NPI 1710057245
-
- Ophthalmology Physician
- Gardena, CA
- NPI 1083890701
-
dba San Pedro Eye Care Medical Group Inc A Professional Medical Corporatio
- Ophthalmology Physician
- San Pedro, CA
- NPI 1447896154
-
- Psychiatric Hospital Unit
- San Pedro, CA
- NPI 1154349371
-
- Ambulatory Surgical Clinic/Center
- Torrance, CA
- NPI 1982965612
-
- Internal Medicine Physician
- Falls Church, VA
- NPI 1952320061
-
dba Little Co of Mary Affiliated
- Internal Medicine Physician
- Evergreen Park, IL
- NPI 1588617260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1841457652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 E 3RD ST STE 603",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900131645",
"telephone_number": "213-680-1551",
"fax_number": "213-680-2148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 E 3RD ST STE 603",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900131645",
"telephone_number": "213-680-1551",
"fax_number": "213-680-2148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHN",
"first_name": "ERIC",
"middle_name": "SOOYONG",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-20",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "VA",
"license": "0101258022",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MD",
"license": "D0074509",
"primary": false
},
{
"code": "207WX0200X",
"taxonomy_group": "",
"desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
"state": "CA",
"license": "151227",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "MD160059",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "151227",
"state": "CA"
}
],
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.