| David Ahn, M.d., Inc | |
|
520 Superior Ave Ste 150 Newport Beach CA 92663-3642 | |
| (949) 764-7366 | |
| (949) 642-7703 |
| Full Name | David Ahn, M.d., Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 520 Superior Ave Ste 150, Newport Beach, California |
| Authorized Official Name and Position | David Ahn (PRESIDENT) |
| Authorized Official Contact | 8582813333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David Ahn, M.d., Inc 520 Superior Ave Ste 150 Newport Beach CA 92663-3642 Ph: () - | David Ahn, M.d., Inc 520 Superior Ave Ste 150 Newport Beach CA 92663-3642 Ph: (949) 764-7366 |
| NPI Number | 1114501848 |
|---|---|
| Provider Enumeration Date | 05/10/2021 |
| Last Update Date | 05/10/2021 |
| Medicare PECOS PAC ID | 7911307442 |
|---|---|
| Medicare Enrollment ID | O20210621001038 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114501848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | David Taehyung Ahn |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1184949570 PECOS PAC ID: 2567774946 Enrollment ID: I20150629001684 |
| Provider Name | Diana W Zhao |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1295199768 PECOS PAC ID: 0648503748 Enrollment ID: I20190604003015 |
| Provider Name | Kristen Nguyen |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1669884821 PECOS PAC ID: 2163854894 Enrollment ID: I20191118001238 |
| Provider Name | Tanzila Shakir Razzaki |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1619396769 PECOS PAC ID: 5597150193 Enrollment ID: I20230106002335 |
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