Ahn, Sam Seunghae
Ahn, Sam Seunghae is an individual health care provider with primary practice located at 1082 Glendon Ave , Los Angeles CA 90024-2908. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Ahn, Sam Seunghae can be contacted via phone (310) 209-2011.Contact Information
Primary practice address
1082 Glendon Ave
Los Angeles CA 90024-2908
Phone: (310) 209-2011
Fax: (310) 209-2113
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | F1333 | Texas |
Profile Details
| NPI number | 1497783831 |
|---|---|
| LBN Legal business name | Ahn, Sam Seunghae |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Jan 25th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497783831 | NPPES |
| Texas | Other | 8AD481 | BLUE CROSS PPO |
| Texas | Other | P00429299 | BLUE CROSS PPO |
| Texas | Other | 208087232 | BLUE CROSS PPO |
| Texas | MEDICAID | 182297503 | BLUE CROSS PPO |
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