Provider Demographics
NPI:1326166026
Name:KUO, CHENSHAY (LAC)
Entity Type:Individual
Prefix:MR
First Name:CHENSHAY
Middle Name:
Last Name:KUO
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 WEST RD
Mailing Address - Street 2:
Mailing Address - City:LA HABRA HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:90631-8082
Mailing Address - Country:US
Mailing Address - Phone:562-690-8669
Mailing Address - Fax:
Practice Address - Street 1:200 S BEACH BLVD STE B
Practice Address - Street 2:
Practice Address - City:LA HABRA
Practice Address - State:CA
Practice Address - Zip Code:90631-5104
Practice Address - Country:US
Practice Address - Phone:562-694-6200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC5918171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist