Individual
IAN AHWAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 HOSPITAL DR, VALLEJO, CA 94589-2574
(707) 554-4444
(707) 617-7717
Mailing address
PO BOX 661597, ARCADIA, CA 91066-1597
(626) 447-0296
(626) 447-6057
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G68731
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G687310
—
CA
Enumeration date
07/20/2006
Last updated
06/23/2008
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