K D Ahn MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A35299 Issued in CA

Legal business name

K D AHN MD

Practice address

1900 Royalty Dr
Ste 205
Pomona, CA 91767

Phone

(909) 620-0389

Fax

(909) 623-3911

NPI assigned

Aug 30, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maria L Venegas

Title

Office Manager

Phone

(909) 620-0389

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kyu D Ahn, M.D.

  • Internal Medicine Physician
  • Pomona, CA
  • NPI 1427015593
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1184818338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 ROYALTY DR STE 205",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673013",
            "telephone_number": "909-620-0389",
            "fax_number": "909-623-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 ROYALTY DR",
            "address_2": "STE 205",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "91767",
            "telephone_number": "909-620-0389",
            "fax_number": "909-623-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K D AHN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "VENEGAS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "909-620-0389"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A35299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A352990",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Soedharsono Judo, DDS
• Teresita Jahja Judo, DDS
• Francis Demet Flor Mata Juloya
• Just US 4 Youth
• K & J 1602 Managment Incorporate
• K. Mawaheb M.D. Faafp, Inc
• Cheridean Kaaialii
• Hrayr A Kabakian, MD
• David Michael Kadar, D.D.S.
• Samuel Kades

• Internal Medicine Physician in Pomona, CA
• Providers in Pomona, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.