Organization
INFINITY MEDICAL GROUP, INC.
Active
Other names
Infinity Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID SUNGHO AHN MD (CEO)
(760) 956-8700
Entity
Organization
Contact information
Practice address
19333 BEAR VALLEY RD STE 201, APPLE VALLEY, CA 92308-5150
(760) 956-8700
(760) 240-4445
Mailing address
19333 BEAR VALLEY RD STE 201, APPLE VALLEY, CA 92308-5150
(760) 956-8700
(760) 240-4445
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A61137
CA
261QP2300X
Primary Care Clinic/Center
Primary
A61137
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A611370
—
CA
Enumeration date
08/21/2006
Last updated
03/02/2018
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