Basic Information
Provider Information
NPI: 1942615075
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AUNG
FirstName: HTOO HTOO
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
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OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 700 N BRAND BLVD STE 1400
Address2:  
City: GLENDALE
State: CA
PostalCode: 912034263
CountryCode: US
TelephoneNumber: 8188395200
FaxNumber: 8188443887
Practice Location
Address1: 525 N GARFIELD AVE
Address2:  
City: MONTEREY PARK
State: CA
PostalCode: 91754
CountryCode: US
TelephoneNumber: 6265732222
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/27/2014
LastUpdateDate: 06/12/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XA147792CAY Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000XLT-3875NHN Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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