Provider Demographics
NPI:1780997148
Name:AUNG, HTAY HTAY (MD)
Entity type:Individual
Prefix:DR
First Name:HTAY
Middle Name:HTAY
Last Name:AUNG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:25 S RAYMOND AVE
Mailing Address - Street 2:STE 201
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-7146
Mailing Address - Country:US
Mailing Address - Phone:626-658-7758
Mailing Address - Fax:626-741-5344
Practice Address - Street 1:25 S RAYMOND AVE
Practice Address - Street 2:STE 201
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-7146
Practice Address - Country:US
Practice Address - Phone:626-658-7758
Practice Address - Fax:626-741-5344
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-14
Last Update Date:2018-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1270502084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry