Individual
DR. KYAW MOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3650 SOUTH ST, SUITE 101, LAKEWOOD, CA 90712-1502
(562) 286-6466
(562) 286-6465
Mailing address
3650 SOUTH ST, SUITE 101, LAKEWOOD, CA 90712-1502
(562) 286-6466
(562) 286-6465
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD429546
PA
207RN0300X
Nephrology Physician
Primary
A109324
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101707491
—
PA
01
—
232359401
MAIN LINE HEALTHCARE
PA
Enumeration date
07/11/2006
Last updated
09/23/2014
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