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Yoo Sang Ahn

Dentist, General Practice in Buena Park, CA. Individual provider (NPI-1).

NPI number1104734664
StatusActive
Last updated in NPPESAug 27, 2026

Details

NPI
1104734664
Entity type
Individual (NPI-1)
Name
Yoo Sang Ahn
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 27, 2026
Certification date
Aug 27, 2026
Last updated
Aug 27, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice113532CAYes

Practice location

5258 Beach Blvd Ste A
Buena Park, CA 90621-1276

Phone 714-522-5152

Mailing address

5258 Beach Blvd Ste A
Buena Park, CA 90621-1276

Phone 714-522-5152

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