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NPI Code Detail

MEDICARE: DR. WILLIAM B. AHNN M.D.

MEDICARE: DR. WILLIAM B. AHNN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology PhysicianA31405CA
2207LP2900XPain Medicine (Anesthesiology) PhysicianA31405CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457338683
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM B. AHNN M.D.
Provider Business Mailing Address
First Line : 210 N TUSTIN AVE
Second Line :
City : SANTA ANA
State : CA
Zip : 92705-3807
Country : US
Telephone Number : 800-883-7243
Fax Number : 714-647-1245
Provider Business Practice Location Address
First Line : 2101 N WATERMAN AVE
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92404-4836
Country : US
Telephone Number : 909-883-3711
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2005
Last Update Date : 11/10/2015

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