Individual
MR. ROBERT C AHEARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18800 DELAWARE ST, SUITE 1100, HUNTINGTON BEACH, CA 92648
(714) 841-5333
(714) 841-5303
Mailing address
18800 DELAWARE ST, SUITE 1100, HUNTINGTON BEACH, CA 92648
(714) 841-5333
(714) 841-5303
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
G54139A
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
911481
QME
CA
Enumeration date
08/30/2006
Last updated
02/05/2008
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