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HYUNG W. AN M.D.
>> Internal Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1336108851
Individual Registrant: HYUNG W. AN M.D.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
6161 CLARK RD SUITE 5 PARADISE, CA 95969-4164 US
Tel: 530-872-8684 Fax: 530-872-8495
Tel: 530-872-8684 Fax: 530-872-8495
Contact information for business:
PO BOX 4033 PARADISE, CA 95967-4033 US
Tel: 530-872-8684 Fax: 530-872-8495
Tel: 530-872-8684 Fax: 530-872-8495
Registration Information:
NPI: 1336108851
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207R00000X | Allopathic & Osteopathic Physicians Internal Medicine | CA | A64726 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| FIRST HEALTH-CCN | 5492774 | CA | 01 |
| BLUE SHIELD | 00A647260 | CA | 01 |
| 00A647260 | CA | 05 | |
| BLUE CROSS | 383688642 | CA | 01 |
| TRICARE | 383688642 | CA | 01 |
