Individual provider · Type 1 NPI
Edward Jaesung Ahn, MD
General Practice Physician · San Diego, CA
NPI number
1093805103
Active
Practice location
7750 Dagget St Ste 108
San Diego, CA 92111-2235
Fax (858) 571-1006
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | A38304 (CA) |
| General Practice Physician Primary | 208D00000X | A38304 (CA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1093805103
Edward Jaesung Ahn, MD's National Provider Identifier is 1093805103, issued on Oct 13, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in San Diego, CA. The record was last updated on Aug 2, 2022.