1992129670 NPI number — CHEN & KUO CHIROPRACTIC CORPORATION

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992129670 NPI number — CHEN & KUO CHIROPRACTIC CORPORATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CHEN & KUO CHIROPRACTIC 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:
6
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:
1992129670
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/14/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
18403 PIONEER BLVD
Provider Second Line Business Mailing Address:
#202
Provider Business Mailing Address City Name:
ARTESIA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90701-5500
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
562-809-4005
Provider Business Mailing Address Fax Number:
562-809-2925

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
18403 PIONEER BLVD
Provider Second Line Business Practice Location Address:
SUITE 202
Provider Business Practice Location Address City Name:
ARTESIA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90701-5500
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
562-809-4005
Provider Business Practice Location Address Fax Number:
562-809-2925
Provider Enumeration Date:
02/14/2014

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
KUO
Authorized Official First Name:
YUFU
Authorized Official Middle Name:
Authorized Official Title or Position:
MANAGING DOCTOR
Authorized Official Telephone Number:
562-809-4005

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  31442 , 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)