# HARVARD MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023225455
- **Authorized official:** EDWARD AHN MD (PRESIDENT)
- **Authorized official phone:** (858) 571-1004

## Contact information

- **Practice address:** 7750 DAGGET ST STE 108, SAN DIEGO, CA 92111-2235
- **Practice address phone:** (858) 571-1004
- **Mailing address:** 7750 DAGGET ST STE 108, SAN DIEGO, CA 92111-2235

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A38304 | CA | Yes |

## Other

- **Enumeration date:** 05/16/2007
- **Last updated:** 08/02/2022