| Allcare Family Medical Group, Inc | |
|
6301 Beach Blvd Suite 109 Buena Park CA 90621-2840 | |
| (714) 525-9900 | |
| (714) 228-9228 |
| Full Name | Allcare Family Medical Group, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 6301 Beach Blvd, Buena Park, California |
| Authorized Official Name and Position | Martin Taehung Ahn (FAMILY MEDICINE) |
| Authorized Official Contact | 7145259900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allcare Family Medical Group, Inc 6301 Beach Blvd Suite 109 Buena Park CA 90621-2840 Ph: (714) 525-9900 | Allcare Family Medical Group, Inc 6301 Beach Blvd Suite 109 Buena Park CA 90621-2840 Ph: (714) 525-9900 |
| NPI Number | 1083159057 |
|---|---|
| Provider Enumeration Date | 12/30/2016 |
| Last Update Date | 03/20/2017 |
| Medicare PECOS PAC ID | 8426331422 |
|---|---|
| Medicare Enrollment ID | O20170428001124 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083159057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A85576 (California) | Primary |
| Provider Name | Martin Taehung Ahn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649342171 PECOS PAC ID: 7517936446 Enrollment ID: I20040928000847 |
| Provider Name | Soojin Yu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003277260 PECOS PAC ID: 1153695168 Enrollment ID: I20170914001284 |
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