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:
Health care specialties
| Specialty | Code | License # | 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 3 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 | 1093805103 | NPPES |
| California | MEDICAID | 00Q383040 |
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