Henry H Khin MD, Corporation

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A60156 Issued in CA

Legal business name

HENRY H KHIN MD, CORPORATION

Practice address

2331 El Capitan Ave
Arcadia, CA 91006-5112

Phone

(626) 574-7102

Fax

(626) 574-3970

NPI assigned

Mar 12, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Henry Htwelay Khin, MDNPI 1871639682

Title

Owner

Phone

(626) 574-7102

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Henry Htwelay Khin, M.D.

  • Psychiatry Physician
  • Upland, CA
  • NPI 1871639682
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1316440720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 EL CAPITAN AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910065112",
            "telephone_number": "626-574-7102",
            "fax_number": "626-574-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 EL CAPITAN AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910065112",
            "telephone_number": "626-574-7102",
            "fax_number": "626-574-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY H KHIN MD, CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-12",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "KHIN",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "HTWELAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-574-7102",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A60156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A641560",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassandra Helland
• Kandace Henderson
• Steven Dale Hendrickson, L.C.S.W.
• Emily Tina Heng
• Jaime O Henriquez, MD
• Henry Wang Medical Inc
• James Garbis Henry, M.D
• Herman Sardjono MD Medical Corp
• Lee Scott Herman, M.D.
• Desiree Renae Hermosillo, LMFT

• Psychiatry Physician in Arcadia, CA
• Providers in Arcadia, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.