1447334826 NPI number — NORMAN KUO MD PHD PROFESSIONAL CORPORATION

Table of content: (NPI 1447334826)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447334826 NPI number — NORMAN KUO MD PHD PROFESSIONAL CORPORATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NORMAN KUO MD PHD PROFESSIONAL CORPORATION
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1447334826
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/12/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2593
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CYPRESS
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90630-1293
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
714-521-0239
Provider Business Mailing Address Fax Number:
714-739-2862

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5471 LA PALMA AVE
Provider Second Line Business Practice Location Address:
SUITE 105
Provider Business Practice Location Address City Name:
LA PALMA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90623-1745
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
714-521-0239
Provider Business Practice Location Address Fax Number:
714-739-2862
Provider Enumeration Date:
10/24/2006

Additional Information

Authorized Official

Authorized Official Last Name:
KUO
Authorized Official First Name:
EMILY
Authorized Official Middle Name:
MING
Authorized Official Title or Position:
OFFICE MANAGER
Authorized Official Telephone Number:
714-521-0239

Provider Taxonomy Codes

  • Taxonomy code: 207RG0100X , with the licence number:  A37079 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00A370791 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




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