Provider Demographics
NPI:1861635278
Name:AUNG, ANDREW MYNN KHINE (MD)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:MYNN KHINE
Last Name:AUNG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:519 W CLAREMONT ST
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91103-2419
Mailing Address - Country:US
Mailing Address - Phone:213-308-7729
Mailing Address - Fax:
Practice Address - Street 1:519 W CLAREMONT ST
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91103-2419
Practice Address - Country:US
Practice Address - Phone:213-308-7729
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-15
Last Update Date:2016-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA106089207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology