Provider Demographics
NPI:1740517234
Name:KUO, YU-FU (DC)
Entity type:Individual
Prefix:DR
First Name:YU-FU
Middle Name:
Last Name:KUO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3671 ALEGRIA DR
Mailing Address - Street 2:
Mailing Address - City:EL MONTE
Mailing Address - State:CA
Mailing Address - Zip Code:91731-2538
Mailing Address - Country:US
Mailing Address - Phone:213-291-5899
Mailing Address - Fax:
Practice Address - Street 1:3671 ALEGRIA DR
Practice Address - Street 2:
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91731-2538
Practice Address - Country:US
Practice Address - Phone:213-291-5899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-04
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 31442111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAD9308347OtherDRIVER LICENSE