Mr. Peter Keywon Ahn, NURSEPRACTITIONER
Mr. Peter Keywon Ahn, NURSEPRACTITIONER is a Nurse Practitioner in Winnetka, California. Qualified in 2016, 10 years ago. Practices with El Proyecto Del Barrio Inc, a 28-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 10
- Licensed in
- CA
- In the registry since
- 2017
Practice location Address checks out
20800 Sherman WayWinnetka, CA 91306-2707
Phone: (818) 883-2273
Fax: (818) 347-2446
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence NP95005656 (CA) |
|---|
Record details
| NPI number | 1568909901 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | NURSEPRACTITIONER |
| Sole proprietor | No |
| NPI enumerated | January 24, 2017 |
| Last updated in NPPES | August 15, 2023 |
| Certification date | August 15, 2023 |
| Mailing address | 20800 Sherman Way, Winnetka, CA 91306-2707 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2016 (10 years in practice) |
| Group practice | El Proyecto Del Barrio Inc — 28 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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