=====================================================
General NPI Number Information
=====================================================
NPI Number | 1720931736
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SANG HOON AHN MEDICAL GROUP, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/18/2026
-----------------------------------------------------
Last Update Date | 02/19/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1950 SUNNY CREST DR STE 2800
-----------------------------------------------------
City | FULLERTON
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92835-3641
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 657-888-9919
-----------------------------------------------------
Fax | 657-888-9941
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1520 HOLLYDALE DR
-----------------------------------------------------
City | FULLERTON
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92831-1115
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 213-245-0788
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | DR. SANG HOON AHN
-----------------------------------------------------
Credential | MD, MPH
-----------------------------------------------------
Telephone | 213-245-0788
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------