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Kent Eunbae Ahn

Family Doctor - Geriatric Medicine

9961 Sierra Ave
Fontana , California 92335-6720

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Kent Eunbae Ahn

Family Doctor - Geriatric Medicine

9961 Sierra Ave
Fontana , California 92335-6720

(909) 427-3910

Write a Review Save Call

Kent Eunbae Ahn

Family Doctor - Geriatric Medicine

9961 Sierra Ave
Fontana , California 92335-6720

(909) 427-3910 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Family Doctor - Geriatric Medicine

Languages spoken

  • English

Location

9961 Sierra Ave Fontana , California 92335-6720

First Address

  • Kent Eunbae Ahn
  • 9961 Sierra Ave
  • Fontana, CA
  • Zip : 92335-6720
  • Phone : (909) 427-3910

Second Address

  • Kent Eunbae Ahn
  • 9961 Sierra Ave
  • Fontana, CA
  • Zip : 92335-6720
  • Phone : (909) 427-3910

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FAQs


Where did Kent Eunbae Ahn attend graduate school?

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Where did Kent Eunbae Ahn do his residency?

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Where did Kent Eunbae Ahn do his fellowship?

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Is Kent Eunbae Ahn board certified?

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What type of doctor is Kent Eunbae Ahn

Family Doctor - Geriatric Medicine

In what state does Kent Eunbae Ahn practice in?

California

Where is Kent Eunbae Ahn ’s practice located?

9961 Sierra Ave , Fontana, California, 92335-6720

What is Kent Eunbae Ahn ’s gender?

Male

Is Kent Eunbae Ahn a sole practitioner?

No

Is Kent Eunbae Ahn accepting new patients?

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What languages does Kent Eunbae Ahn speak?

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Does Kent Eunbae Ahn accept insurance?

Yes, Kent Eunbae Ahn accepts insurance

Does Kent Eunbae Ahn offers telemedicine?

Kent Eunbae Ahn has not indicated if he offers telemedicine

What is Kent Eunbae Ahn ’s professional license number?

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What is Kent Eunbae Ahn ’s NPI number?

1083762017

Does Kent Eunbae Ahn have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207QG0300X Family Doctor - Geriatric Medicine A96797 CA

National Provider Identifier

NPI 1083762017
Provider Name Kent Eunbae Ahn
First Address Fontana, CA 92335-6720
Second Address Fontana, CA 92335-6720
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 08/01/2007
Last Update Date 02/12/2021

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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