MEDICARE: WOO SUNG AHN MD

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
1	207R00000X	Internal Medicine Physician	A51408	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00A514080	OTHER	CA	MEDICAL

General Provider Information

NPI Number	:	1396807806
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WOO SUNG AHN MD

Provider Business Mailing Address
First Line	:	20145 S PIONEER BLVD
Second Line	:
City	:	LAKEWOOD
State	:	CA
Zip	:	90715-1051
Country	:	US
Telephone Number	:	562-916-5020
Fax Number	:	562-916-5022

Provider Business Practice Location Address
First Line	:	20145 S PIONEER BLVD
Second Line	:
City	:	LAKEWOOD
State	:	CA
Zip	:	90715-1051
Country	:	US
Telephone Number	:	562-916-5020
Fax Number	:	562-916-5022

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/14/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1114942711 — RALPHS GROCERY COMPANY
Practice Location Address:

20137 PIONEER BLVD
LAKEWOOD, CA
90715-1051

Practice Phone: 562-924-1210
Practice Fax: 562-924-3430

1972515195 — YOUNGHAE PHARMACY INC
Practice Location Address:

20141 PIONEER BLVD
LAKEWOOD, CA
90715-1051

Practice Phone: 562-866-5795
Practice Fax: 562-866-0257

1881754489 — DR. CANDICE YEE CHEN DDS
Practice Location Address:

20147 PIONEER BLVD
LAKEWOOD, CA
90715-1051

Practice Phone: 916-719-5986
Practice Fax:

1285766253 — WOOSUNG AHN, M.D., INC
Practice Location Address:

20145 PIONEER BLVD
LAKEWOOD, CA
90715-1051

Practice Phone: 562-916-5020
Practice Fax: 562-916-5022

1336352830 — KENNY KIM DDS
Practice Location Address:

20147 PIONEER BLVD
LAKEWOOD, CA
90715-1051

Practice Phone: 562-924-0558
Practice Fax:

1336562990 — JUJIN SHIN
Practice Location Address:

20137 PIONEER BLVD
LAKEWOOD, CA
90715-1051

Practice Phone: 562-924-1210
Practice Fax: 562-924-3430

Directions to “ WOO SUNG AHN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.