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Contact Information

SAM S AHN, MD
1082 GLENDON AVE
LOS ANGELES, CA90024-2908
 Phone: 310-209-2011
 Fax: 310-209-2113
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for SAM S AHN · (Male)

NPI # 1497783831
Status Active
Credentials MD
Entity Individual
Enumeration date 06/28/2006
Last updated 08/14/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • TX License # F1333
  • TX Medicaid 182297503
  • TX Other 8AD481 BLUE CROSS PPO
  • TX Other P00429299 RAILROAD MEDICARE
  • TX Other 208087232 TRICARE/CHAMPUS
Hospital affiliation(s)
  • METHODIST CHARLTON MEDICAL CENTER - (Acute Care)
    3500 W WHEATLAND ROAD
    DALLAS, TX 75237
  • METHODIST DALLAS MEDICAL CENTER - (Acute Care)
    1441 NORTH BECKLEY AVENUE
    DALLAS, TX 75203
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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