Most Relevant Information
Provider Data
| NPI Number: | 1003464504 |
| Provider Name: | KIMMIE SIU-YI HANG |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/28/2019 |
| Last Updated: | 11/15/2023 |
Provider Practice Location
1792 GARNET AVE
SAN DIEGO
CA
921093350
Practice Location Phone/Fax
| Phone: | 8584831489 |
| Fax: |
Provider Mailing Location
10025 TOPANGA CANYON BLVD UNIT 104
CHATSWORTH
CA
913113687
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |