| Harvard Medical Group Inc | |
|
7750 Dagget St Ste 108 San Diego CA 92111-2235 | |
| (858) 571-1004 | |
| Not Available |
| Full Name | Harvard Medical Group Inc |
|---|---|
| Speciality | General Practice |
| Location | 7750 Dagget St Ste 108, San Diego, California |
| Authorized Official Name and Position | Edward Ahn (PRESIDENT) |
| Authorized Official Contact | 8585711004 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harvard Medical Group Inc 7750 Dagget St Ste 108 San Diego CA 92111-2235 Ph: () - | Harvard Medical Group Inc 7750 Dagget St Ste 108 San Diego CA 92111-2235 Ph: (858) 571-1004 |
| NPI Number | 1023225455 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 08/02/2022 |
| Medicare PECOS PAC ID | 1951338003 |
|---|---|
| Medicare Enrollment ID | O20050720001061 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023225455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A38304 (California) | Primary |
| Provider Name | Edward J Ahn |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1093805103 PECOS PAC ID: 4385623164 Enrollment ID: I20040715000749 |
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