Provider Demographics
NPI:1245438332
Name:SAN, KYI K (MD)
Entity type:Individual
Prefix:DR
First Name:KYI
Middle Name:K
Last Name:SAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:9701 LAKEWOOD BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90240-3311
Mailing Address - Country:US
Mailing Address - Phone:562-861-8999
Mailing Address - Fax:562-861-0999
Practice Address - Street 1:9701 LAKEWOOD BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90240-3311
Practice Address - Country:US
Practice Address - Phone:562-861-8999
Practice Address - Fax:562-861-0999
Is Sole Proprietor?:No
Enumeration Date:2007-07-10
Last Update Date:2012-02-08
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Provider Licenses
StateLicense IDTaxonomies
CAA98231207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA98231OtherSTATE LICENSE