BUENA PARK MEDICAL GROUP NPI 1477625671

NPI Information

BUENA PARK MEDICAL GROUP is a family medicine in Buena Park, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BUENA PARK MEDICAL GROUP NPI is 1477625671. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

6301 BEACH BLVD
SUITE 101
BUENA PARK, CA
ZIP 90621-840
Phone: (714) 994-5290
Fax: (714) 994-8090

The provider's authorized official is Martin Taehung Ahn .
The authorized official title is President and has the following contact phone number (714) 994-5290.

The CLIA number assigned to this NPI record is 05D0993856 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/14/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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