MEDICARE: SANG HOON AHN 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
1	207R00000X	Internal Medicine Physician	A95562	CA
2	207RX0202X	Medical Oncology Physician	A95562	CA

Other Identifiers

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

General Provider Information

NPI Number	:	1568581759
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANG HOON AHN M.D.

Provider Business Mailing Address
First Line	:	1520 HOLLYDALE DR
Second Line	:
City	:	FULLERTON
State	:	CA
Zip	:	92831-1115
Country	:	US
Telephone Number	:	213-245-0788
Fax Number	:

Provider Business Practice Location Address
First Line	:	1950 SUNNY CREST DR STE 2800
Second Line	:
City	:	FULLERTON
State	:	CA
Zip	:	92835-3641
Country	:	US
Telephone Number	:	657-888-9919
Fax Number	:	657-888-9941

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2007
Last Update Date	:	02/18/2026

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Directions to “ SANG HOON AHN M.D.” Practice Location

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