Organization
BUENA PARK MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN TAEHUNG AHN MD (PRESIDENT)
(714) 994-5290
Entity
Organization
Contact information
Practice address
6301 BEACH BLVD, SUITE 101, BUENA PARK, CA 90621-2840
(714) 994-5290
(714) 994-8090
Mailing address
PO BOX 277, BUENA PARK, CA 90621-0277
(714) 994-5290
(714) 994-8090
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A061574
CA
207Q00000X
Family Medicine Physician
A85576
CA
207R00000X
Internal Medicine Physician
A63728
CA
207R00000X
Internal Medicine Physician
G53693
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A615740
—
CA
05
—
00A637280
—
CA
05
—
00A855760
—
CA
05
—
00G536930
—
CA
05
—
GR0099930
—
CA
Enumeration date
11/14/2006
Last updated
09/11/2025
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