Provider Demographics
NPI:1598922320
Name:KUO, ALLEN (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:
Last Name:KUO
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24022 CALLE DE LA PLATA STE 500
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-7612
Mailing Address - Country:US
Mailing Address - Phone:877-430-7337
Mailing Address - Fax:949-837-8154
Practice Address - Street 1:24022 CALLE DE LA PLATA STE 500
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653
Practice Address - Country:US
Practice Address - Phone:877-430-7337
Practice Address - Fax:949-837-8154
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-20
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA110790207R00000X, 207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease