{
"Npi": {
"NPI": "1518318625",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MYINT",
"FirstName": "KYI",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "MBBS",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "HSIEH",
"OtherFirstName": "HAO",
"OtherMiddleName": "MING",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "MD",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "26520 CACTUS AVE",
"SecondLineMailingAddress": "SUITE 106",
"MailingAddressCityName": "MORENO VALLEY",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92555-3927",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "951-486-4671",
"MailingAddressFaxNumber": "951-486-5911",
"FirstLinePracticeLocationAddress": "7140 INDIANA AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "RIVERSIDE",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "92504",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "951-358-6000",
"PracticeLocationAddressFaxNumber": "951-275-8760",
"EnumerationDate": "06/29/2016",
"LastUpdateDate": "09/06/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207R00000X",
"TaxonomyName": "Internal Medicine Physician",
"LicenseNumber": "A151950",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}