Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | A106534 | CA |
N | 207RH0003X | Hematology & Oncology | 0116024300 | VA |
N | 207RH0003X | Hematology & Oncology | 036121719 | IL |
N | 207RH0003X | Hematology & Oncology | A106534 | CA |
NPI | 1225243348 |
---|---|
Provider Name | Zaw W Myint |
First Address | Los Angeles, CA 90031-0309 |
Second Address | Los Angeles, CA 90089-1700 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2007 |
Last Update Date | 29/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0A1065340 | BLUE SHIELD (01) | CA |