Provider Demographics
NPI:1720715253
Name:KUO CHIROPRACTIC HEALTH GROUP
Entity Type:Organization
Organization Name:KUO CHIROPRACTIC HEALTH GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:YEN-CHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KUO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-753-0935
Mailing Address - Street 1:2098 WALSH AVE STE B
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95050-2544
Mailing Address - Country:US
Mailing Address - Phone:408-753-0935
Mailing Address - Fax:669-235-8797
Practice Address - Street 1:2098 WALSH AVE STE B
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95050-2544
Practice Address - Country:US
Practice Address - Phone:408-753-0935
Practice Address - Fax:669-235-8797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-04
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty