Se Jin Ahn (NPI# 1083020820, PAC ID# 8527394865) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1083020820 |
| PAC ID by PECOS | 8527394865 |
| Professional Enrollment ID | I20190724004169 |
| Full Name | Se Jin Ahn |
| Organization Legal Name | MARTIN LUTHER KING JR COMMUNITY MEDICAL GROUP |
| Address |
1680 E 120th St Los Angeles CA 90059-3026 |
| Phone Number | 4245296755 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 8628359502 |
| Number of Group Practice Members | 109 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050262 | RONALD REAGAN U C L A MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1680 E 120th St, Los Angeles, CA 90059-3026 | 4245296755 | MARTIN LUTHER KING JR COMMUNITY MEDICAL GROUP |
| 757 Westwood Plaza, Los Angeles, CA 90095-8358 | 3103016800 | UCLA RADIOLOGY MEDICAL GROUP |
| 1250 16th St, Santa Monica, CA 90404-1249 | UCLA RADIOLOGY MEDICAL GROUP |
| Organization Legal Name | MARTIN LUTHER KING JR COMMUNITY MEDICAL GROUP |
| Physicians | 63 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin Nicole Dizon | Infectious Disease | Martin Luther King Jr Community Medical Group | 2251 W Rosecrans Ave, Suite 21, Compton, CA 90222-3860 |
| Haatal B Dave | Diagnostic Radiology | Martin Luther King Jr Community Medical Group | 1680 E 120th St, Los Angeles, CA 90059-3026 |
| Heidi L Clausen | Nurse Practitioner | Martin Luther King Jr Community Medical Group | 1680 E 120th St, Los Angeles, CA 90059-3026 |
| Sarah N Khan | Diagnostic Radiology | Martin Luther King Jr Community Medical Group | 1680 E 120th St, Los Angeles, CA 90059-3026 |
| Juan P Villablanca | Diagnostic Radiology | Martin Luther King Jr Community Medical Group | 1680 E 120th St, Los Angeles, CA 90059-3026 |
| Paul J Iskander | Diagnostic Radiology | Martin Luther King Jr Community Medical Group | 1680 E 120th St, Los Angeles, CA 90059-3026 |
| Stanley Frencher | General Surgery | Martin Luther King Jr Community Medical Group | 1680 E 120th St, Los Angeles, CA 90059-3026 |
| Ravi N Srinivasa | Interventional Radiology | Martin Luther King Jr Community Medical Group | 1680 E 120th St, Los Angeles, CA 90059-3026 |
| Bashir Akhavan Tafti | Diagnostic Radiology | Martin Luther King Jr Community Medical Group | 1680 E 120th St, Los Angeles, CA 90059-3026 |
| Suzanne Yoon Homer | Diagnostic Radiology | Martin Luther King Jr Community Medical Group | 1680 E 120th St, Los Angeles, CA 90059-3026 |
| Street Address |
1680 E 120TH ST |
| City | LOS ANGELES |
| State | CA |
| Zip | 90059-3026 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pratima Subedi | Internal Medicine | Superior Hospitalist Medical Group Inc | 1680 E 120th St, Los Angeles, CA 90059-3026 |
| Haatal B Dave | Diagnostic Radiology | Martin Luther King Jr Community Medical Group | 1680 E 120th St, Los Angeles, CA 90059-3026 |
| Heidi L Clausen | Nurse Practitioner | Martin Luther King Jr Community Medical Group | 1680 E 120th St, Los Angeles, CA 90059-3026 |
| Jason Evan Prasso | Critical Care (intensivists) | Superior Hospitalist Medical Group Inc | 1680 E 120th St, Los Angeles, CA 90059-3026 |
| Adan De Jesus Romero Lopez | Family Medicine | Superior Hospitalist Medical Group Inc | 1680 E 120th St, Los Angeles, CA 90059-3026 |
| Sarah N Khan | Diagnostic Radiology | Martin Luther King Jr Community Medical Group | 1680 E 120th St, Los Angeles, CA 90059-3026 |
| Efrain Talamantes | Internal Medicine | Superior Hospitalist Medical Group Inc | 1680 E 120th St, Los Angeles, CA 90059-3026 |
| Jiandong Wei | Internal Medicine | Superior Hospitalist Medical Group Inc | 1680 E 120th St, Los Angeles, CA 90059-3026 |
| Vivian Mendoza | Pathology | Affiliated Pathologists Medical Group, Inc. | 1680 E 120th St, Mlk Hospital, Los Angeles, CA 90059-3026 |
| Juan P Villablanca | Diagnostic Radiology | Martin Luther King Jr Community Medical Group | 1680 E 120th St, Los Angeles, CA 90059-3026 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ajay Gupta | Nephrology | 11859 Compton Ave, Los Angeles, CA 90059-2958 | |
| Thuc B Tu | Internal Medicine | 11859 Compton Ave, Los Angeles, CA 90059-2958 | |
| Marcus Nesbeth | Physician Assistant | County of Los Angeles Auditor Controller | 11833 Wilmington Ave, Los Angeles, CA 90059-3015 |
| Barbara A Caiquo Sears | Physician Assistant | County of Los Angeles Auditor Controller | 11833 Wilmington Ave, Los Angeles, CA 90059-3015 |
| Aklil Tadesse | Physician Assistant | County of Los Angeles Auditor Controller | 11833 Wilmington Ave, Los Angeles, CA 90059-3015 |
| Jennifer K Lyons | Physician Assistant | County of Los Angeles Auditor Controller | 11833 Wilmington Ave, Los Angeles, CA 90059-3015 |
| Frederick Rutherford | Oral Surgery | County of Los Angeles Auditor Controller | 11833 Wilmington Ave, Los Angeles, CA 90059-3015 |
| Karen Theophile | Physician Assistant | County of Los Angeles Auditor Controller | 11833 Wilmington Ave, Los Angeles, CA 90059-3015 |
| Ward A Robidart | Physician Assistant | County of Los Angeles Auditor Controller | 11833 Wilmington Ave, Los Angeles, CA 90059-3015 |
| Bartholomew Gilliam | Physician Assistant | County of Los Angeles Auditor Controller | 11833 Wilmington Ave, Los Angeles, CA 90059-3015 |
| Find all physicians in zip 90059 | |||
| City | LOS ANGELES |
| Zip Code | 90059 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | LOS ANGELES + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Se Jin Ahn.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.