Provider Demographics
NPI:1538235676
Name:AHN, YEOJIN (IMF)
Entity type:Individual
Prefix:
First Name:YEOJIN
Middle Name:
Last Name:AHN
Suffix:
Gender:F
Credentials:IMF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10836 POBLADO RD
Mailing Address - Street 2:312
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92127-5315
Mailing Address - Country:US
Mailing Address - Phone:858-248-0586
Mailing Address - Fax:
Practice Address - Street 1:7907 OSTROW ST
Practice Address - Street 2:F
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92111-3635
Practice Address - Country:US
Practice Address - Phone:858-300-8282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2010-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health