Provider Demographics
NPI:1588831309
Name:KUO, MYRNA IEE-HSIN (MD)
Entity Type:Individual
Prefix:DR
First Name:MYRNA
Middle Name:IEE-HSIN
Last Name:KUO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1427 CAMDEN AVE APT UNIT102
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-8033
Mailing Address - Country:US
Mailing Address - Phone:808-523-1600
Mailing Address - Fax:808-526-0221
Practice Address - Street 1:1427 CAMDEN AVE UNIT 102
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-8033
Practice Address - Country:US
Practice Address - Phone:808-523-1600
Practice Address - Fax:808-526-0221
Is Sole Proprietor?:No
Enumeration Date:2008-05-12
Last Update Date:2018-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI14712207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine