Ahn, Jeanie

Ahn, Jeanie is an individual health care provider with primary practice located at 1999 Mowry Ave Suite R, Fremont CA 94538-1738. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Ahn, Jeanie can be contacted via phone (510) 745-8186.

Contact Information

Primary practice address
1999 Mowry Ave Suite R Fremont CA 94538-1738
Phone: (510) 745-8186
Fax: (510) 745-8332
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X A065315 California
Other Service Providers / Specialist 174400000X A65315 California

Profile Details

NPI number 1053359356
LBN Legal business name Ahn, Jeanie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Nov 27th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053359356 NPPES
California MEDICAID 00A653150

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