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Individual

DR. HENRY HTWELAY KHIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
732 N MOUNTAIN AVE STE A, UPLAND, CA 91786-4372
(909) 579-2555
(909) 579-2118
Mailing address
2331 EL CAPITAN AVE, ARCADIA, CA 91006
(626) 574-7102
(626) 574-3970

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
A064156
CA
2084P0800X
Psychiatry Physician
Primary
A64156
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A641560
CA
Enumeration date
01/29/2007
Last updated
02/17/2023
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