Healthcare Provider Details

I. General information

NPI: 1386351948
Provider Name (Legal Business Name): ESTHER AHN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2022
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

645 W 9TH ST
LOS ANGELES CA
90015-1415
US

IV. Provider business mailing address

645 W 9TH ST
LOS ANGELES CA
90015-1415
US

V. Phone/Fax

Practice location:
  • Phone: 213-452-0830
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number1386351948
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: