Organization
ANDREW H AHN MD PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW H AHN MD (PRESIDENT)
(714) 530-0303
Entity
Organization
Contact information
Practice address
12555 GARDEN GROVE BLVD, SUITE 403, GARDEN GROVE, CA 92843-1903
(714) 530-0303
Mailing address
12555 GARDEN GROVE BLVD, SUITE 403, GARDEN GROVE, CA 92843-1903
(714) 530-0303
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
A37601
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A370610
—
CA
Enumeration date
05/27/2008
Last updated
05/27/2008
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