Provider Demographics
NPI:1952894925
Name:HTAY HTAY AUNG MD, INC
Entity Type:Organization
Organization Name:HTAY HTAY AUNG MD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HTAY
Authorized Official - Middle Name:HTAY
Authorized Official - Last Name:AUNG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-340-1938
Mailing Address - Street 1:25 S RAYMOND AVE STE 201
Mailing Address - Street 2:
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 STE 201
Practice Address - Street 2:
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-13
Last Update Date:2018-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1270502084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty