Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 49608 | CA |
NPI | 1013011642 |
---|---|
Provider Name | Dr. Hla Myaing |
First Address | Salinas, CA 93901-4222 |
Second Address | Salinas, CA 93901-4222 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/09/2006 |
Last Update Date | 19/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1557340 | UNITED CONCORDIA (01) | PA |
B49608 | HFP STATE GOVERNMENT PROG (01) | CA |
G9272101 | (05) | CA |