MISS MICHELLE JEAN AHN (NPI# 1295902930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295902930 |
| Entity Type | Individual |
| Full Name | MISS MICHELLE JEAN AHN |
| Credential | M.D. |
| Practice Address |
14112 S Kingsley Dr Gardena CA 90249-3018 |
| Mailing Address |
1681 Aspen Dr Lake Forest IL 60045-4620 |
| Practice Telephone | 3102177312 |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2012-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A121280 | CA | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
036128718 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124482062 | Michelle Ahn | Internal Medicine | 55 Fruit St, Boston, MA 02114-2621 | 2016-04-06 |
| 1043504954 | Michelle Soojung Ahn | Dentist | 1444 Aviation Blvd, Suite 201, Redondo Beach, CA 90278-4001 | 2011-06-08 |
| Street Address |
14112 S KINGSLEY DR |
| City | GARDENA |
| State | CA |
| Zip Code | 90249-3018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376576900 | Los Angeles County Department of Mental Health | Clinic/Center | 14112 S Kingsley Dr, Gardena, CA 90249-3018 | 2006-07-08 |
| 1043793326 | Jeremiah Do | Registered Nurse | 14112 S Kingsley Dr, Gardena, CA 90249-3018 | 2018-09-12 |
| 1174041586 | Tina Nguyen | Student in an Organized Health Care Education/Training Program | 14112 S Kingsley Dr, Gardena, CA 90249-3018 | 2017-09-06 |
| 1871029413 | Mary Ndungu Mabuoch | Case Manager/Care Coordinator | 14112 S Kingsley Dr, Gardena, CA 90249-3018 | 2017-05-02 |
| 1487190716 | Khin Thu | Case Manager/Care Coordinator | 14112 S Kingsley Dr, Gardena, CA 90249-3018 | 2017-01-10 |
| 1346797388 | Gi Hyun Yun | Student in an Organized Health Care Education/Training Program | 14112 S Kingsley Dr, Gardena, CA 90249-3018 | 2016-09-07 |
| 1275080210 | Eusun Jeong | Student in an Organized Health Care Education/Training Program | 14112 S Kingsley Dr, Gardena, CA 90249-3018 | 2016-09-07 |
| 1578019980 | Kee Jung Eom | Social Worker | 14112 S Kingsley Dr, Gardena, CA 90249-3018 | 2016-08-27 |
| 1447609169 | Andrea Aguilar | Social Worker | 14112 S Kingsley Dr, Gardena, CA 90249-3018 | 2016-06-03 |
| 1700244886 | Melita Nicole Evans | Counselor | 14112 S Kingsley Dr, Gardena, CA 90249-3018 | 2016-02-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821518085 | Jin Taek Limb | Chiropractor | 2911 W 135th Pl, Gardena, CA 90249 | 2017-06-20 |
| 1083084651 | Charde Antoinette | Home Health | 2923 W 138th, Gardena, CA 90249 | 2015-09-25 |
| 1316330145 | Lupita Martinez | Marriage & Family Therapist | 15120 Atkinson Ave Ste 7, Gardena, CA 90249 | 2015-03-18 |
| 1699100487 | Asian American Drug Abuse Program, Inc | Community/Behavioral Health | 14112 S. Kingsley Dr., Gardena, CA 90249 | 2013-09-11 |
| 1992142327 | Vin'ash Coaching, LLC | Private Vehicle | 3163 W 154th Place, Gardena, CA 90249 | 2013-05-24 |
| 1811287048 | Best-option Home Health Agency Inc. | Home Health | 15223 S Crenshaw Blvd Suite A, Gardena, CA 90249 | 2011-04-08 |
| 1356644439 | Ameripride Ambulance Service, Inc. | Ambulance | 13509 South Raymond Avenue, Gardena, CA 90249 | 2010-12-13 |
| 1164732327 | Ctc Healthcare Services Inc | In Home Supportive Care | 13108 Arcturus Avenue, Gardena, CA 90249 | 2010-10-20 |
| 1407170996 | Marl Soon Chung | Dentist | 15622 S. Crenshaw Blvd #b, Gardena, CA 90249 | 2010-03-26 |
| 1164677464 | Grace Jiyoung Park | Family Medicine | 15446 S. Western Ave, Southern California Permanente Medical Group, Gardena, CA 90249 | 2008-12-01 |
| Find all providers in zip 90249 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861735813 | Marie Lord | Psychiatry & Neurology | 1149 W 190th St, Gardena, CA 90248-4321 | 2013-03-28 |
| 1558427641 | Judy Man | Psychiatry & Neurology | 14112 S Kingsley Dr, Gardena, CA 90249-3018 | 2006-12-31 |
| 1851464739 | Marina Dsouza | Psychiatry & Neurology | 1300 W 155th St, Gardena, CA 90247-4048 | 2006-11-16 |
| 1700959343 | Khang Manh Nguyen | Psychiatry & Neurology | 14112 S Kingsley Dr, Gardena, CA 90249-3018 | 2006-11-15 |
| 1821168584 | Mark G Salib | Psychiatry & Neurology | 14112 S Kingsley Dr, Gardena, CA 90249-3018 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982054 | Joseph Ashimedua Modestus | Psychiatry & Neurology | 22433 South Vermont Ave, Apt 412, Torrance, CA 90502-9050 | 2020-11-03 |
| 1659970333 | Flatow Medical Corporation | Psychiatry & Neurology | 4840 Mindora Dr, Torrance, CA 90505-2140 | 2020-10-22 |
| 1053910158 | Open Mind Mental Health Inc | Psychiatry & Neurology | 5241 Alzeda Dr, La Mesa, CA 91941-5726 | 2020-10-20 |
| 1831705383 | Joel A Badeaux, Md, A Professional Corp | Psychiatry & Neurology | 2135 Park Dr, Los Angeles, CA 90026-1919 | 2020-09-21 |
| 1730794223 | Margarita Alonso Md LLC | Psychiatry & Neurology | 4401 Manchester Ave Ste 101, Encinitas, CA 92024-4938 | 2020-09-10 |
| 1760095673 | Dana Np: Advanced Practice Psychiatric Nursing, Inc. | Psychiatry & Neurology | 9801 Olympic Dr, Huntington Beach, CA 92646-4848 | 2020-08-29 |
| 1730792102 | Oladapo Tomori | Psychiatry & Neurology | Ginger, 116 New Montgomery Street, Suite 500, San Francisco, CA 94105 | 2020-08-26 |
| 1326658204 | Michael Martyna | Psychiatry & Neurology | 401 Quarry Road, Room 2208, Stanford Neuropsychiatry Fellowship Program Department, Stanford, CA 94305-5723 | 2020-08-05 |
| 1568072767 | Capitol City Psychiatry | Psychiatry & Neurology | 300 Harding Blvd Ste 118, Roseville, CA 95678-2472 | 2020-08-03 |
| 1164031530 | Katherine Ann Valdivia | Psychiatry & Neurology | 710 Madison St # A, Watsonville, CA 95076-2702 | 2020-07-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.