DR. ERIC SOOYONG AHN (NPI# 1841457652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841457652 |
| Entity Type | Individual |
| Full Name | DR. ERIC SOOYONG AHN |
| Credential | MD |
| Practice Address |
420 E 3rd St Ste 603 Los Angeles CA 90013-1645 |
| Practice Telephone | (213) 680-1551 |
| Practice Fax Number | 2136802148 |
| Mailing Telephone | (213) 680-1551 |
| Mailing Fax Number | 2136802148 |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2017-09-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 0101258022 | VA | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | D0074509 | MD | Allopathic & Osteopathic Physicians |
| Y | 207WX0200X |
Ophthalmology Specialization: Ophthalmic Plastic and Reconstructive Surgery |
151227 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL LICENSE | 151227 | 01 |
| OR | MEDICAL LICENSE | MD160059 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134528912 | Eric Ahn | Internal Medicine | Elm and Carlton St, Buffalo, NY 14263-0001 | 2014-08-18 |
| Street Address |
420 E 3RD ST STE 603 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90013-1645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104924356 | Keiko Kitamura | Optometrist | 420 E 3rd St Ste 603, Los Angeles, CA 90013-1645 | 2006-09-20 |
| 1437344108 | Harold E Reaves M.d.,inc | Specialist | 420 E 3rd St Ste 603, Los Angeles, CA 90013-1645 | 2007-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013470327 | Mia Rashap | Technician, Other | 555 W 5th St, Los Angeles, CA 90013 | 2019-04-12 |
| 1992263941 | Shiane Lyana Ferretti | Technician, Other | 555 West 5th Street, Los Angeles, CA 90013 | 2019-03-08 |
| 1629567060 | Dtla Med | Clinic/Center | 431 S Hewitt St Ste B, Los Angeles, CA 90013 | 2018-05-01 |
| 1386150886 | Abel Joseph Apodaca Jr. | Counselor | 512 East 4th Street, Los Angeles, CA 90013 | 2017-12-19 |
| 1578075560 | Anthony Perez | Case Manager/Care Coordinator | 522 S San Pedro, Los Angeles, CA 90013 | 2017-10-30 |
| 1740724574 | Royalty Group Services Inc | Clinic/Center | 555 West Fifth Street 31st Floor, Los Angeles, CA 90013 | 2016-12-13 |
| 1275930877 | Araceli Zuniga | Rehabilitation Practitioner | 640 South Maple Avenue, Los Angeles, CA 90013 | 2014-11-25 |
| 1558785956 | Carlos Mejia | Counselor | 470 E. 3rd St., Los Angeles, CA 90013 | 2014-02-06 |
| 1679908081 | Troy Gabrielson | Counselor | 470 E. 3rd Street, Suite C, Los Angeles, CA 90013 | 2013-09-05 |
| 1417298753 | Pierre Houbein | Physician Assistant | 311 Winston St., Los Angeles, CA 90013 | 2013-03-12 |
| Find all providers in zip 90013 | ||||
| Taxonomy Code | 207WX0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Ophthalmic Plastic and Reconstructive Surgery |
| A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck. |
| Notes: Source: American Academy of Ophthalmology, 2015. www.aao.org [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938175 | Kelsey Andrea Roelofs | Ophthalmology | 100 Stein Plz, Los Angeles, CA 90095-7065 | 2020-07-06 |
| 1891259420 | Soheab Ugradar | Ophthalmology | 300 Stein Plaza, Los Angeles, CA 90095-0001 | 2019-01-28 |
| 1134518087 | Liza Michelle Cohen | Ophthalmology | 200 Stein Plaza #1-340, Los Angeles, CA 90095 | 2015-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366941296 | Guy G Massry, Md | Ophthalmology | 150 N Robertson Blvd Ste 314, Beverly Hills, CA 90211-2145 | 2018-02-06 |
| 1316483225 | Catherine Cox, Md, Inc | Ophthalmology | 711 D St Ste 102, San Rafael, CA 94901-3703 | 2017-01-17 |
| 1841734084 | Marlon Maus | Ophthalmology | 2616 Etna St, Berkeley, CA 94704-3409 | 2016-12-07 |
| 1538399761 | California Eye and Facial Plastic Surgery | Ophthalmology | 1812 Port Abbey Pl, Newport Beach, CA 92660-5310 | 2009-07-22 |
| 1790943355 | Roya Ghafouri | Ophthalmology | 9735 Wilshire Blvd Ste 421, Beverly Hills, CA 90212-2113 | 2008-05-29 |
| 1134395205 | Jeffrey Joseph | Ophthalmology | 180 Newport Center Dr Ste 158, Newport Beach, CA 92660-0934 | 2008-05-07 |
| 1013940519 | Medical Vision Technology Ophthalmology Grp Inc. | Ophthalmology | 1700 Alhambra Blvd, Suite 202, Sacramento, CA 95816-7050 | 2006-07-08 |
| 1609809144 | Medical Vision Technology Ophthalmology Grp, Inc | Ophthalmology | 1830 Sierra Gardens Dr, Suite 100, Roseville, CA 95661-2942 | 2006-07-08 |
| 1841292257 | Jeremiah Tao | Ophthalmology | 850 Health Sciences Rd, Irvine, CA 92697-4375 | 2005-08-15 |
| 1932613601 | Oculofacial Surgical Arts, PC | Ophthalmology | 12845 Pointe Del Mar Way Ste 100, Del Mar, CA 92014-3862 | 2017-11-16 |
| Find all providers with the same taxonomy | ||||
| City | LOS ANGELES |
| Zip Code | 90013 |
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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.