Provider Demographics
NPI:1952461832
Name:GYI, KHIN KHIN (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:KHIN
Middle Name:KHIN
Last Name:GYI
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10736 JEFFERSON BLVD
Mailing Address - Street 2:
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90230-4933
Mailing Address - Country:US
Mailing Address - Phone:310-945-6087
Mailing Address - Fax:310-836-3082
Practice Address - Street 1:11645 WILSHIRE BLVD
Practice Address - Street 2:STE 1100
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-6807
Practice Address - Country:US
Practice Address - Phone:310-945-6087
Practice Address - Fax:310-836-3082
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2016-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG620622084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE 88546Medicare UPIN