Provider Demographics
NPI:1285216580
Name:THIN, WYUT YI (MBBS, MD)
Entity type:Individual
Prefix:
First Name:WYUT YI
Middle Name:
Last Name:THIN
Suffix:
Gender:F
Credentials:MBBS, MD
Other - Prefix:
Other - First Name:MAY
Other - Middle Name:MYAT PHYO
Other - Last Name:OO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, MBBS
Mailing Address - Street 1:11370 ANDERSON ST STE 3400
Mailing Address - Street 2:
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92354-3450
Mailing Address - Country:US
Mailing Address - Phone:909-558-2838
Mailing Address - Fax:
Practice Address - Street 1:11370 ANDERSON ST STE 3400
Practice Address - Street 2:
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92354-3450
Practice Address - Country:US
Practice Address - Phone:909-558-2838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-26
Last Update Date:2024-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA193869207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine