Provider Demographics
NPI:1841406014
Name:KUO, SHU-MING (DAOM)
Entity Type:Individual
Prefix:
First Name:SHU-MING
Middle Name:
Last Name:KUO
Suffix:
Gender:M
Credentials:DAOM
Other - Prefix:
Other - First Name:BRIAN
Other - Middle Name:
Other - Last Name:KUO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DAOM
Mailing Address - Street 1:7445 MISSION VALLEY RD STE 104
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-4408
Mailing Address - Country:US
Mailing Address - Phone:760-884-4728
Mailing Address - Fax:
Practice Address - Street 1:7445 MISSION VALLEY RD STE 104
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-4408
Practice Address - Country:US
Practice Address - Phone:608-844-7287
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2023-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10638171100000X, 171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist