Provider Demographics
NPI:1750615472
Name:KUO, TSENG-YIN
Entity type:Individual
Prefix:
First Name:TSENG-YIN
Middle Name:
Last Name:KUO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1046 POLK LN
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95117-2943
Mailing Address - Country:US
Mailing Address - Phone:408-858-8047
Mailing Address - Fax:408-865-1438
Practice Address - Street 1:1046 POLK LN
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95117-2943
Practice Address - Country:US
Practice Address - Phone:408-858-8047
Practice Address - Fax:408-865-1438
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-28
Last Update Date:2010-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA741114163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse