Ahn, Yong Suk
Ahn, Yong Suk is an individual health care provider with primary practice located at 5247 Beach Blvd , Buena Park CA 90621. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Ahn, Yong Suk can be contacted via phone (714) 224-4673.Contact Information
Primary practice address
5247 Beach Blvd
Buena Park CA 90621
Phone: (714) 224-4673
Fax: (714) 224-4676
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 46233 | California |
Profile Details
| NPI number | 1770689044 |
|---|---|
| LBN Legal business name | Ahn, Yong Suk |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770689044 | NPPES |
| California | Other | B46233-01 | MEDICAL LICENSE # |
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