Active NPIIndividual providerSole proprietor

Edward J Ahn, MD

General Practice in San Diego, California

NPI Number1093805103
Practice location
7750 Dagget St Ste 108, San Diego, CA 92111-2235
Fax
858-571-1006
Last updated
August 2, 2022

Edward J Ahn, MD is a General Practice based in San Diego, CA. Edward J Ahn, MD holds the professional credentials of MD. The NPI number for Edward J Ahn, MD is 1093805103 and holds license No. A38304 (CA). The current practice location address is 7750 Dagget St Ste 108, San Diego, CA 92111-2235 and the office can be reached by phone at 858-571-1004 and by fax at 858-571-1006. The NPI was assigned on October 13, 2006 and the record was last updated in NPPES on August 2, 2022.

●Provider Profile Details

NPI Number
1093805103
Provider Name
Edward Jaesung Ahn
Credential
MD
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
General Practice · 208D00000X
Sole Proprietor
Yes
Enumeration Date
October 13, 2006
Last Update Date
August 2, 2022
Certification Date
August 2, 2022
NPI Status
Active

◉Business Practice Location Address

Address
7750 Dagget St Ste 108
San Diego, CA 92111-2235
ZIP
92111-2235
Country
US
Phone Number
858-571-1004
Fax Number
858-571-1006

Get directions →

✉Business Mailing Address

Address
7750 Dagget St Ste 108
San Diego, CA 92111-2235
City
San Diego
State
CA
ZIP
92111-2235
Phone Number
858-571-1004
Fax Number
858-571-1006

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Family Medicine207Q00000XNoA38304CA
General Practice208D00000XYesA38304CA

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Edward J Ahn, MD?

The NPI number of Edward J Ahn, MD is 1093805103. It was assigned on October 13, 2006 and is currently active in the NPPES registry.

What is the specialty of Edward J Ahn, MD?

Edward J Ahn, MD is registered under the primary taxonomy General Practice (code 208D00000X) and holds license No. A38304 (CA).

Where does Edward J Ahn, MD practice?

The practice location is 7750 Dagget St Ste 108, San Diego, CA 92111-2235. The office can be reached at 858-571-1004 (phone) or 858-571-1006 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093805103 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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