Provider Demographics
NPI:1578581245
Name:KUO, MEI SHI (LAC)
Entity Type:Individual
Prefix:DR
First Name:MEI
Middle Name:SHI
Last Name:KUO
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7548 GARVEY AVE
Mailing Address - Street 2:
Mailing Address - City:ROSEMEAD
Mailing Address - State:CA
Mailing Address - Zip Code:91770-2960
Mailing Address - Country:US
Mailing Address - Phone:626-572-4103
Mailing Address - Fax:626-572-0667
Practice Address - Street 1:7548 GARVEY AVE
Practice Address - Street 2:
Practice Address - City:ROSEMEAD
Practice Address - State:CA
Practice Address - Zip Code:91770-2960
Practice Address - Country:US
Practice Address - Phone:626-572-4103
Practice Address - Fax:626-572-0667
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC2252171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist