Maunglay, Soe Tin

Maunglay, Soe Tin is an sole proprietor health care provider with primary practice located at 4500 Brockton Ave Ste 316 , Riverside CA 92501-4090. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Maunglay, Soe Tin can be contacted via phone (951) 394-3055.

Contact Information

Primary practice address
4500 Brockton Ave Ste 316 Riverside CA 92501-4090
Fax: (951) 394-3077
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X C152411 California

Profile Details

NPI number 1093864373
LBN Legal business name Maunglay, Soe Tin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2007
Last updated Sep 8th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093864373 NPPES
Florida MEDICAID 277913700
Florida Other 124493
Florida Other 124237
Florida Other 093-896
Florida Other 124241
Florida Other P17390012

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