Provider Demographics
NPI:1700129541
Name:HUNG, KIN WAI (MD, MBA, MSCR)
Entity Type:Individual
Prefix:DR
First Name:KIN WAI
Middle Name:
Last Name:HUNG
Suffix:
Gender:M
Credentials:MD, MBA, MSCR
Other - Prefix:DR
Other - First Name:TONY
Other - Middle Name:
Other - Last Name:HUNG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, MBA, MSCR
Mailing Address - Street 1:14445 OLIVE VIEW DR
Mailing Address - Street 2:DEPARTMENT OF MEDICINE (2B-182)
Mailing Address - City:SYLMAR
Mailing Address - State:CA
Mailing Address - Zip Code:91342-1437
Mailing Address - Country:US
Mailing Address - Phone:818-364-3205
Mailing Address - Fax:818-364-4573
Practice Address - Street 1:14445 OLIVE VIEW DR
Practice Address - Street 2:DEPARTMENT OF MEDICINE (2B-182)
Practice Address - City:SYLMAR
Practice Address - State:CA
Practice Address - Zip Code:91342-1437
Practice Address - Country:US
Practice Address - Phone:747-210-3205
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-30
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA134570207R00000X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine