Individual provider · Type 1 NPI

Chanook Ahn, DMD

Periodontics · Los Angeles, CA

NPI number 1699113050 Active

Practice location

1127 Wilshire Blvd
Los Angeles, CA 90017-3901

Mailing address

3151 Airway Ave Ste F103
Costa Mesa, CA 92626-4651

Other practice locations

  • 20 York St # T-209, Yale-New Haven Hospital, New Haven, CT 06510-3220 · (203) 688-2464

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X101227 (CA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1699113050

Chanook Ahn, DMD's National Provider Identifier is 1699113050, issued on Jun 7, 2013. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 27, 2026.