Ahn, Edward Jaesung

Ahn, Edward Jaesung is an sole proprietor health care provider with primary practice located at 7750 Dagget St Ste 108 , San Diego CA 92111-2235. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Ahn, Edward Jaesung can be contacted via phone (858) 571-1004.

Contact Information

Primary practice address
7750 Dagget St Ste 108 San Diego CA 92111-2235
Phone: (858) 571-1004
Fax: (858) 571-1006
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A38304 California
Allopathic & Osteopathic Physicians / General Practice 208D00000X A38304 California

Profile Details

NPI number 1093805103
LBN Legal business name Ahn, Edward Jaesung
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2006
Last updated Aug 2nd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093805103 NPPES
California MEDICAID 00Q383040

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