Healthcare Provider Details

I. General information

NPI: 1952217937
Provider Name (Legal Business Name): ALLAN ROMEO AHORRO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23141 MOULTON PKWY STE 102
LAGUNA HILLS CA
92653-1241
US

IV. Provider business mailing address

7671 RHONE LN
HUNTINGTON BEACH CA
92647-4122
US

V. Phone/Fax

Practice location:
  • Phone: 949-916-9100
  • Fax: 949-916-0091
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: