Provider Demographics
NPI:1790452175
Name:GUO, SUNQUAN (LAC, RN)
Entity Type:Individual
Prefix:
First Name:SUNQUAN
Middle Name:
Last Name:GUO
Suffix:
Gender:F
Credentials:LAC, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5544 LISBOA ST
Mailing Address - Street 2:
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-4117
Mailing Address - Country:US
Mailing Address - Phone:626-586-2662
Mailing Address - Fax:
Practice Address - Street 1:2500 E FOOTHILL BLVD STE 208
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-3468
Practice Address - Country:US
Practice Address - Phone:626-377-9596
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-24
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19101171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist