Provider Demographics
NPI:1093069684
Name:KUO, CHIENHUNG (LAC)
Entity Type:Individual
Prefix:
First Name:CHIENHUNG
Middle Name:
Last Name:KUO
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:HENRY
Other - Middle Name:
Other - Last Name:KUO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1831 TULIP LN
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-4933
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1831 TULIP LN
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-4933
Practice Address - Country:US
Practice Address - Phone:626-228-4222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-03
Last Update Date:2012-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC15085171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist