Provider Demographics
NPI:1518318625
Name:MYINT, KYI (MBBS)
Entity Type:Individual
Prefix:
First Name:KYI
Middle Name:
Last Name:MYINT
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:HAO
Other - Middle Name:MING
Other - Last Name:HSIEH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:26520 CACTUS AVE
Mailing Address - Street 2:SUITE 106
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92555-3927
Mailing Address - Country:US
Mailing Address - Phone:951-486-4671
Mailing Address - Fax:951-486-5911
Practice Address - Street 1:7140 INDIANA AVE
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92504
Practice Address - Country:US
Practice Address - Phone:951-358-6000
Practice Address - Fax:951-275-8760
Is Sole Proprietor?:No
Enumeration Date:2016-06-29
Last Update Date:2018-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA151950207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine