# ANDREW H AHN MD PROFESSIONAL CORPORATION

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

## Provider details

- **NPI number:** 1053579136
- **Authorized official:** DR. ANDREW H AHN MD (PRESIDENT)
- **Authorized official phone:** (714) 530-0303

## Contact information

- **Practice address:** 12555 GARDEN GROVE BLVD, SUITE 403, GARDEN GROVE, CA 92843-1903
- **Practice address phone:** (714) 530-0303
- **Mailing address:** 12555 GARDEN GROVE BLVD, SUITE 403, GARDEN GROVE, CA 92843-1903
- **Mailing address phone:** (714) 530-0303

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | A37601 | CA | Yes |

## Other

- **Enumeration date:** 05/27/2008
- **Last updated:** 05/27/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A370610 | — | CA |