Healthcare Provider Details

I. General information

NPI: 1326213638
Provider Name (Legal Business Name): KYI ZIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2008
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2710 GATEWAY OAKS DR STE 100
SACRAMENTO CA
95833-3505
US

IV. Provider business mailing address

3819 CALVERHALL WAY
ROCKLIN CA
95677-3254
US

V. Phone/Fax

Practice location:
  • Phone: 916-925-7010
  • Fax:
Mailing address:
  • Phone: 916-865-6672
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA103602
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License NumberA103602
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: