| Sam Seunghae Ahn, MD | |
|
1082 Glendon Ave, Los Angeles, CA 90024-2908 | |
| (310) 209-2011 | |
| (310) 209-2113 |
| Full Name | Sam Seunghae Ahn |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 48 Years |
| Location | 1082 Glendon Ave, Los Angeles, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497783831 | NPI | - | NPPES |
| P00429299 | Other | TX | RAILROAD MEDICARE |
| 182297503 | Medicaid | TX | |
| 208087232 | Other | TX | TRICARE/CHAMPUS |
| 8AD481 | Other | TX | BLUE CROSS PPO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | F1333 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Vascular Associates Inc | 7911901731 | 6 |
| Dfw Vascular Group Llp | 0941391072 | 5 |
| Entity Name | Mission Surgical Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457300436 PECOS PAC ID: 1456313501 Enrollment ID: O20041101000340 |
| Entity Name | University Vascular Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225062490 PECOS PAC ID: 7911901731 Enrollment ID: O20060911000391 |
| Mailing Address | Practice Location Address |
|---|---|
| Sam Seunghae Ahn, MD 1082 Glendon Ave, Los Angeles, CA 90024-2908 Ph: (310) 209-2011 | Sam Seunghae Ahn, MD 1082 Glendon Ave, Los Angeles, CA 90024-2908 Ph: (310) 209-2011 |
Dr. Peyman Benharash, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 10833 Leconte Ave Room 62-215, Los Angeles, CA 90095 Phone: 310-206-6717 Fax: 310-206-5901 | |
Mr. Willis H. Wagner, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 8631 W 3rd St, Suite 615e, Los Angeles, CA 90048 Phone: 310-652-8132 Fax: 310-659-3815 | |
Dr. Christian Jesus Ochoa, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1520 San Pablo Street, Suite 4300, Los Angeles, CA 90033 Phone: 323-442-5849 Fax: 323-442-5956 | |
Dr. Jane Kim Yang, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 200 Ucla Medical Plz Ste 526, Los Angeles, CA 90095 Phone: 310-206-6294 Fax: 310-794-9603 | |
Dr. Kaushal Ramesh Patel, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1510 San Pablo St, Suite 514, Los Angeles, CA 90033 Phone: 323-442-5988 Fax: 323-442-5735 | |
Rosemary D Dearnley, RN Surgery Medicare: Not Enrolled in Medicare Practice Location: 10833 Le Conte Ave, Los Angeles, CA 90095 Phone: 310-825-9554 | |
Rodrigo F Alban, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 8635 W 3rd St, Suite 650w, Los Angeles, CA 90048 Phone: 310-423-8513 Fax: 310-248-8594 |