Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | A34553 | CA |
NPI | 1083754501 |
---|---|
Provider Name | Khin Swe Lay |
First Address | Tujunga, CA 91042-3422 |
Second Address | Glendale, CA 91206-4007 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2007 |
Last Update Date | 08/07/2007 |