Provider Demographics
NPI:1467606079
Name:HTUT, THINZAR AUNG (MD)
Entity Type:Individual
Prefix:
First Name:THINZAR
Middle Name:AUNG
Last Name:HTUT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MYAT
Other - Middle Name:THINZAR
Other - Last Name:AUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:22909 FERN AVE
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-2935
Mailing Address - Country:US
Mailing Address - Phone:310-345-1610
Mailing Address - Fax:
Practice Address - Street 1:1400 S GRAND AVENUE
Practice Address - Street 2:SUITE 101
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90015
Practice Address - Country:US
Practice Address - Phone:310-345-1610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-10
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA105297207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine