Healthcare Provider Details

I. General information

NPI: 1306530928
Provider Name (Legal Business Name): AMYOZING HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2023
Last Update Date: 06/07/2023
Certification Date: 06/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13847 E 14TH ST STE 102-A
SAN LEANDRO CA
94578-2632
US

IV. Provider business mailing address

13847 E 14TH ST STE 102-A
SAN LEANDRO CA
94578-2632
US

V. Phone/Fax

Practice location:
  • Phone: 510-200-8581
  • Fax:
Mailing address:
  • Phone: 510-200-8581
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code202C00000X
TaxonomyIndependent Medical Examiner Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207U00000X
TaxonomyNuclear Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MYO MIN HAN
Title or Position: PRESIDENT
Credential: MD
Phone: 510-200-8581