Individual
SANDAR KYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2499 E LAKESHORE DR, LAKE ELSINORE, CA 92530-4446
(951) 471-4200
Mailing address
2499 E LAKESHORE DR, LAKE ELSINORE, CA 92530-4446
(951) 208-0058
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A96661
CA
Other
Enumeration date
06/11/2008
Last updated
08/08/2011
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