Healthcare Provider Details

I. General information

NPI: 1720931736
Provider Name (Legal Business Name): SANG HOON AHN MEDICAL GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2026
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1950 SUNNY CREST DR STE 2800
FULLERTON CA
92835-3641
US

IV. Provider business mailing address

1520 HOLLYDALE DR
FULLERTON CA
92831-1115
US

V. Phone/Fax

Practice location:
  • Phone: 657-888-9919
  • Fax: 657-888-9941
Mailing address:
  • Phone: 213-245-0788
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SANG HOON AHN
Title or Position: CEO
Credential: MD, MPH
Phone: 213-245-0788