Provider Demographics
NPI:1639854342
Name:AHIR, MILAN
Entity Type:Individual
Prefix:
First Name:MILAN
Middle Name:
Last Name:AHIR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16220 PACIFIC COAST HWY
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92649-1809
Mailing Address - Country:US
Mailing Address - Phone:562-394-5746
Mailing Address - Fax:
Practice Address - Street 1:495 E RINCON STREET
Practice Address - Street 2:STE 209
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92879
Practice Address - Country:US
Practice Address - Phone:562-821-1491
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-20
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician