Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Edward Jaesung Ahn, MD

Individual provider Family Medicine Physician · NPI 1093805103

Edward Jaesung Ahn, MD is a General Practice in San Diego, California. Qualified in 1964, 62 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
62
Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

7750 Dagget St Ste 108
San Diego, CA 92111-2235
Phone: (858) 571-1004
Fax: (858) 571-1006
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence A38304 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence A38304 (CA)

Record details

NPI number1093805103
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 13, 2006
Last updated in NPPESAugust 2, 2022
Certification dateAugust 2, 2022
Mailing address7750 Dagget St Ste 108, San Diego, CA 92111-2235

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 1964 (62 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in San Diego