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BRIAN AHN D.O.

>> Organized Health Care Education/Training Program >> Student

Registrant NPI Number: 1265849749

Individual Registrant:
 BRIAN  AHN D.O.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
5451 WALNUT AVE  CHINO, CA 91710-2609 US
Tel: 909-464-8600  Fax: --

Contact information for business:
5451 WALNUT AVE  CHINO, CA 91710-2609 US
Tel: --  Fax: --

Registration Information:
NPI: 1265849749
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y390200000XStudent
Organized Health Care Education/Training Program

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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