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NPI Code Detail

MEDICARE: HYOSUN AHN

MEDICARE: HYOSUN AHN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist8597CA

General Provider Information

NPI Number : 1255820478
Entity Type Code : Individual
Provider Name (Legal Business Name) : HYOSUN AHN
Provider Business Mailing Address
First Line : 1039 E EL CAMINO REAL
Second Line :
City : SUNNYVALE
State : CA
Zip : 94087-7719
Country : US
Telephone Number : 408-599-0088
Fax Number :
Provider Business Practice Location Address
First Line : 1039 E EL CAMINO REAL
Second Line :
City : SUNNYVALE
State : CA
Zip : 94087-7719
Country : US
Telephone Number : 408-599-0088
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2018
Last Update Date : 05/03/2018

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Directions to “ HYOSUN AHN ” Practice Location

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