Provider Demographics
NPI:1790895936
Name:MYA, GEORGE HLAING (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:HLAING
Last Name:MYA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44469 10TH ST W
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-3324
Mailing Address - Country:US
Mailing Address - Phone:661-945-9411
Mailing Address - Fax:661-949-2035
Practice Address - Street 1:44469 10TH ST W
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-3324
Practice Address - Country:US
Practice Address - Phone:661-945-9411
Practice Address - Fax:661-949-2035
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2019-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA73130207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A731300Medicaid
CAWA73130AMedicare ID - Type Unspecified
CA00A731300Medicaid