Provider Demographics
NPI:1932416781
Name:AHN, DANIEL (DO)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:
Last Name:AHN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:181 ANDRIEUX ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SONOMA
Mailing Address - State:CA
Mailing Address - Zip Code:95476-6932
Mailing Address - Country:US
Mailing Address - Phone:707-588-7939
Mailing Address - Fax:707-588-7941
Practice Address - Street 1:181 ANDRIEUX ST
Practice Address - Street 2:SUITE 100
Practice Address - City:SONOMA
Practice Address - State:CA
Practice Address - Zip Code:95476-6932
Practice Address - Country:US
Practice Address - Phone:707-588-7939
Practice Address - Fax:707-588-7941
Is Sole Proprietor?:No
Enumeration Date:2010-08-31
Last Update Date:2012-07-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOT012630207W00000X
CA20A12253207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology