DR. TAE JUN AHN (NPI# 1558566943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558566943 |
| Entity Type | Individual |
| Full Name | DR. TAE JUN AHN |
| Credential | DDS |
| Practice Address |
4010 Sepulveda Blvd Suite 5 Torrance CA 90505-2372 |
| Mailing Address |
4010 Sepulveda Blvd. Suite 5 Torrance CA 90505 |
| Practice Telephone | 3103785358 |
| Mailing Telephone | 3103785358 |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
43884 | CA | Dental Providers |
| Street Address |
4010 SEPULVEDA BLVD SUITE 5 |
| City | TORRANCE |
| State | CA |
| Zip Code | 90505-2372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417055930 | Robert Paul Perens | Pediatrics | 4010 Sepulveda Blvd, Ste 3, Torrance, CA 90505-2372 | 2006-09-20 |
| 1891924387 | Junseung Oh D.d.s. and Minseok Kim D.m.d. Inc | Clinic/Center | 4010 Sepulveda Blvd, Suite 5, Torrance, CA 90505-2372 | 2009-07-06 |
| 1568604650 | Damon Wayne Chandley | Dentist | 4010 Sepulveda Blvd, #6 Damon Chandley, D.d.s., Torrance, CA 90505 | 2009-04-03 |
| 1942472055 | Eric Kunio Kaji | Dentist | 4010 Sepulveda Blvd, Suite 4, Torrance, CA 90505-2372 | 2008-03-28 |
| 1750582250 | Maximilian Chang, D.d.s., Inc. | Dentist | 4010 Sepulveda Blvd, Suite 5, Torrance, CA 90505-2372 | 2007-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780229260 | Sleep Apnea Team LLC | Clinic/Center | 2785 Pacific Coast Hwy Ste. E #197, Torrance, CA 90505 | 2019-11-08 |
| 1811469349 | Laura Anne Bloomberg | Marriage & Family Therapist | 2790 Sky Park Drive, Suite 215, Torrance, CA 90505 | 2018-12-21 |
| 1629544234 | Doroty O.d.s. Devalon | Physician Assistant | 23530 Hawthorne Boulevard Building 1, Suite 290, Torrance, CA 90505 | 2018-10-22 |
| 1790270486 | Juste Karvelyte | Dentist | 3500 Lomita Blvd Ste 201, Torrance, CA 90505 | 2018-06-26 |
| 1023507324 | Robert De Leon | Physician Assistant | 23530 Hawthorne Blvd Ste 290, Torrance, CA 90505 | 2018-05-02 |
| 1376052274 | Regents of The University of California | Durable Medical Equipment & Medical Supplies | 3500 Lomita Bvld, Suite 300, Torrance, CA 90505 | 2017-09-22 |
| 1649796038 | Chan & Huang Dental Partnership | Dentist | 3640 Lomita Blvd., #208, Torrance, CA 90505 | 2017-08-17 |
| 1093238370 | Family Acupuncture, Inc. | Specialist/Technologist, Other | 2820 Sepulveda Blvd.ste.a, Torrance, CA 90505 | 2017-07-19 |
| 1629518535 | J Lee Acupuncture | Acupuncturist | 24248 Crenshaw Blvd. #106, Torrance, CA 90505 | 2017-02-27 |
| 1770932360 | Maha Hanna Dds Inc | Dentist | 3710 Pacific Coast Hwy, Ste 101, Torrance, CA 90505 | 2016-06-06 |
| Find all providers in zip 90505 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922511922 | Mariaelena Rodriguez Dds, Apdc | Dentist | 23451 Madison St Ste 220, Torrance, CA 90505-4760 | 2017-11-13 |
| 1649665985 | Rodriguez Dental Coporation | Dentist | 3400 Lomita Blvd, Ste 505, Torrance, CA 90505 | 2015-04-03 |
| 1235352071 | Joseph Daekeun Lim | Dentist | 2275 W Carson St Ste B, Torrance, CA 90501-7128 | 2007-04-10 |
| 1548664931 | Jae K. Jung Dmd, Inc. | Dentist | 2455 Sepulveda Blvd, Suite F, Torrance, CA 90501-4341 | 2014-10-15 |
| 1245516491 | Yanase Dental Group | Dentist | 22330 Hawthorne Blvd, 316, Torrance, CA 90505-2536 | 2011-11-01 |
| 1679874739 | David Richard Federick | Dentist | 1000 W Carson St, Box 19, Torrance, CA 90502-2004 | 2010-11-05 |
| 1053626556 | Soon No Kim | Dentist | 2814 Sepulveda Blvd, Suite J, Torrance, CA 90505-2863 | 2010-08-10 |
| 1760626782 | George C Cho | Dentist | 23456 Hawthorne Blvd, Suite 210, Torrance, CA 90505-4716 | 2009-04-21 |
| 1548440613 | Edward Thomas Frank | Dentist | 3610 Lomita Blvd Ste 203, Torrance, CA 90505-3919 | 2007-11-06 |
| 1437209970 | Roy Takashi Yanase | Dentist | 22330 Hawthorne Blvd, Suite 316, Torrance, CA 90505-2590 | 2007-01-10 |
| Find all providers in TORRANCE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.