Provider Demographics
NPI:1447606686
Name:KUO, YEN-CHEN (DC)
Entity Type:Individual
Prefix:DR
First Name:YEN-CHEN
Middle Name:
Last Name:KUO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2098 WALSH AVE STE B
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95050-2544
Mailing Address - Country:US
Mailing Address - Phone:408-753-0935
Mailing Address - Fax:669-235-8797
Practice Address - Street 1:2098 WALSH AVE STE B
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95050-2544
Practice Address - Country:US
Practice Address - Phone:408-753-0935
Practice Address - Fax:669-235-8797
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-06
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33524111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor