Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 262959 | MA |
Y | 204F00000X | Transplant Surgeon | A103008 | CA |
NPI | 1588839997 |
---|---|
Provider Name | Dr. Aaron Joseph Ahearn |
First Address | Los Angeles, CA 90031-0309 |
Second Address | Los Angeles, CA 90033-5313 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2008 |
Last Update Date | 27/10/2020 |