Basic Information
| Provider Information | |||||||||
| NPI: | 1659651974 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LWIN | ||||||||
| FirstName: | KIKI | ||||||||
| MiddleName: | Y.H. | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | THWE THWE | ||||||||
| OtherFirstName: | KHIN KAY | ||||||||
| OtherMiddleName: | |||||||||
| OtherNamePrefix: | |||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | M.D. | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | PO BOX 1020 | ||||||||
| Address2: | |||||||||
| City: | STOCKTON | ||||||||
| State: | CA | ||||||||
| PostalCode: | 952013120 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2094686000 | ||||||||
| FaxNumber: | 2094687042 | ||||||||
| Practice Location | |||||||||
| Address1: | 500 W HOSPITAL RD | ||||||||
| Address2: | |||||||||
| City: | FRENCH CAMP | ||||||||
| State: | CA | ||||||||
| PostalCode: | 952319693 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2094686000 | ||||||||
| FaxNumber: | 2094687042 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/17/2011 | ||||||||
| LastUpdateDate: | 08/09/2019 | ||||||||
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| NPIReactivationDate: | |||||||||
| ProviderGenderCode: | F | ||||||||
| AuthorizedOfficialLastName: | |||||||||
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| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | |||||||||
| AuthorizedOfficialTelephone: | |||||||||
| IsSoleProprietor: | N | ||||||||
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| AuthorizedOfficialCredential: | |||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 69-320 | WI | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | R6040 | TX | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | MC-0032 | ID | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 17456 | NV | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | DR.0059601 | CO | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | A127424 | CA | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | MD60790094 | WA | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | MD184795 | OR | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | MD2017-0861 | NM | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | MED-PHYS-LIC-62342 | MT | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 63256 | MN | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 11401C | WY | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 036144949 | IL | N | Allopathic & Osteopathic Physicians | Family Medicine | 207QG0300X | 54540 | AZ | N | Allopathic & Osteopathic Physicians | Family Medicine | Geriatric Medicine | 207Q00000X | 54540 | AZ | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.