| Kyaw Htaik Md Inc. | |
|
1104 S Garfield Ave Ste A Alhambra CA 91801-7803 | |
| (626) 741-5411 | |
| (626) 741-5412 |
| Full Name | Kyaw Htaik Md Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1104 S Garfield Ave Ste A, Alhambra, California |
| Authorized Official Name and Position | Kelvin Chen (OWNER) |
| Authorized Official Contact | 6267415411 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kyaw Htaik Md Inc. 400 W Le Roy Ave Arcadia CA 91007-7305 Ph: () - | Kyaw Htaik Md Inc. 1104 S Garfield Ave Ste A Alhambra CA 91801-7803 Ph: (626) 741-5411 |
| NPI Number | 1194241521 |
|---|---|
| Provider Enumeration Date | 08/17/2017 |
| Last Update Date | 03/17/2018 |
| Medicare PECOS PAC ID | 1355617598 |
|---|---|
| Medicare Enrollment ID | O20171016003123 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194241521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 129170 (California) | Primary |
| Provider Name | Kelvin Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225387137 PECOS PAC ID: 0042430662 Enrollment ID: I20141002001949 |
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